MISS Tara Lynn Rheubottom, PA
NPI #1134118466 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1134118466
- Entity Type
- Individual
- Name
- MISS Tara Lynn Rheubottom, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Mar 31, 2009
Practice Location
- Address
- 10154 JEFFERSON HWY
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70809-2725
- Phone
- (225) 927-5663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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