Acceptance Kidmed of Louisiana LLC
NPI #1245463710 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1245463710
- Entity Type
- Organization
- Organization Name
- Acceptance Kidmed of Louisiana LLC
- Primary Specialty
- Medical Genetics, Ph.D. Medical Genetics
- Enumeration Date
- Aug 31, 2009
- Last Updated
- Aug 31, 2009
Practice Location
- Address
- 2708 WOODDALE BLVD
- Address 2
- SUITE A2
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70805-7541
- Phone
- (225) 382-3920
Authorized Official
- Name
- MRS. SHARITA DAVIS ACKLIN
- Title
- OWNER
- Phone
- (225) 382-3920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
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