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Organization

TWILIGHT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORDEL Y. PARRIS MD (AUTHORIZED OFFICIAL)
(225) 757-6700
Entity
Organization

Contact information

Practice address
3800 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 757-6700
(225) 757-6711
Mailing address
3800 FLORIDA BLVD, BATON ROUGE, LA 70806-3848
(225) 757-6700
(225) 757-6711

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LA
207RC0000X
Cardiovascular Disease Physician
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336175934
NPI NUMBER
LA
05
1462748
LA
Enumeration date
01/08/2015
Last updated
08/29/2018
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