Gulf South Primary Care

NPI #1093028060 in Baton Rouge, Louisiana

Provider Information

NPI Number
1093028060
Entity Type
Organization
Organization Name
Gulf South Primary Care
Primary Specialty
General Practice
Enumeration Date
Jul 20, 2010
Last Updated
Jul 20, 2010

Practice Location

Address
5145 BLUEBONNET BLVD
ZIP Code
70809-3076
Phone
(225) 368-2480

Authorized Official

Name
STEPHEN GUILBAULT
Title
OWNER
Phone
(225) 892-2872

Specialties & Taxonomy Codes

Specialty
General Practice

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