# BATON ROUGE GENERAL PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BATON ROUGE GENERAL PRIMARY CARE, LLC
- **Other names:** Minsky and Carver Medical Center for Personal Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669760948
- **Legal business name:** BATON ROUGE GENERAL PRIMARY CARE, LLC
- **Authorized official:** MR. KENDALL JOHNSON (C.F.O.)
- **Authorized official phone:** (225) 237-1645

## Contact information

- **Practice address:** 8585 PICARDY AVE, SUITE 513, BATON ROUGE, LA 70809-3679
- **Practice address phone:** (225) 819-1198
- **Practice address fax:** (225) 819-1189
- **Mailing address:** 8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
- **Mailing address phone:** (225) 237-1754
- **Mailing address fax:** (225) 237-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2011
- **Last updated:** 12/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5DV54 | MEDICARE GROUP PTAN | LA |