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Organization
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC
Active
Organization
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC
Active
Other names
Bella Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (CFO)
(225) 237-1645
Entity
Organization
Contact information
Practice address
10127 FLORIDA BLVD, BATON ROUGE, LA 70815-1765
(225) 272-0106
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378861
—
LA
Enumeration date
10/21/2011
Last updated
08/01/2014
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