Baton Rouge General Medical Center

NPI #1407284540 in Port Allen, Louisiana

Provider Information

NPI Number: 1407284540
Entity Type: Organization
Organization Name: Baton Rouge General Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Oct 29, 2013
Last Updated: Dec 26, 2018

Practice Location

Address: 610 N JEFFERSON AVE
City: Port Allen
State: Louisiana
ZIP Code: 70767-2414
Phone: (225) 267-6626

Authorized Official

Name: KENDALL JOHNSON
Title: C.F.O.
Phone: (225) 237-1645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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