# MY DOC AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Doc @ Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366108797
- **Authorized official:** DAVID J MARTIN JR. (CEO)
- **Authorized official phone:** (504) 491-4988

## Contact information

- **Practice address:** 4301 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9643
- **Practice address phone:** (504) 491-4988
- **Mailing address:** 4301 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9643
- **Mailing address phone:** (504) 491-4988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021