# ROSLYN M TABOR MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summa Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770758542
- **Authorized official:** MRS. SUSAN STEWART (OFFICE MANAGER)
- **Authorized official phone:** (225) 757-8185

## Contact information

- **Practice address:** 8044 SUMMA AVE, BLDG 1 SUITE A, BATON ROUGE, LA 70809-3411
- **Practice address phone:** (225) 757-8185
- **Practice address fax:** (225) 757-3837
- **Mailing address:** 8044 SUMMA AVE, BLDG 1 SUITE A, BATON ROUGE, LA 70809-3411
- **Mailing address phone:** (225) 757-8185
- **Mailing address fax:** (225) 757-3837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 017770 | LA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008