Individual
DIONNA MICHELLE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809
(225) 761-5405
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
310875
LA
390200000X
Student in an Organized Health Care Education/Training Program
PGY.202444
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368796
—
LA
Enumeration date
07/24/2014
Last updated
11/05/2018
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