The Medical Spa of Baton Rouge
NPI #1275856270 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1275856270
- Entity Type
- Organization
- Organization Name
- The Medical Spa of Baton Rouge
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 4, 2010
- Last Updated
- Mar 4, 2010
Practice Location
- Address
- 7150 JEFFERSON HWY
- Address 2
- SUITE 530
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70806-8128
- Phone
- (225) 216-7885
Authorized Official
- Name
- DR. KENYATTA DAYATRA SHAMLIN, M.D.
- Title
- CO-OWNER
- Phone
- (225) 216-7885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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