# CAROL M. PATIN, M.D.,A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235398850
- **Authorized official:** CAROL M. PATIN M.D. (OWNER.PHYSICIAN)
- **Authorized official phone:** (225) 763-4990

## Contact information

- **Practice address:** 8595 PICARDY AVE, SUITE 230, BATON ROUGE, LA 70809-3670
- **Practice address phone:** (225) 763-4990
- **Practice address fax:** (225) 763-4987
- **Mailing address:** 8595 PICARDY AVE, SUITE 230, BATON ROUGE, LA 70809-3670
- **Mailing address phone:** (225) 763-4990
- **Mailing address fax:** (225) 763-4987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 019120 | LA | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 07/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1038245 | — | LA |