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Organization
BAYOU PHYSICAL MEDICINE, INC.
Active
Organization
BAYOU PHYSICAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSIE M COLIN MD (PRESIDENT/CEO)
(225) 247-6483
Entity
Organization
Contact information
Practice address
12038 LAKE SHERWOOD AVE N, BATON ROUGE, LA 70816-4341
(225) 247-6483
Mailing address
PO BOX 64800, BATON ROUGE, LA 70896-4800
(225) 247-6483
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD.15662R
LA
Other
Enumeration date
05/11/2009
Last updated
10/13/2009
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