Capital City Medical Group, L.l.c.

NPI #1144522855 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1144522855
Entity Type: Organization
Organization Name: Capital City Medical Group, L.l.c.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 1, 2010
Last Updated: May 12, 2014

Practice Location

Address: 2645 ONEAL LN
City: Baton Rouge
State: Louisiana
ZIP Code: 70816-3179
Phone: (225) 926-7200

Authorized Official

Name: MR. PETER ALDEN KELLOGG
Title: ASSOCIATE GENERAL COUNSEL
Phone: (504) 681-8532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Family Medicine	207Q00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Optometrist	152W00000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Internal Medicine	207R00000X	Primary

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