Individual
MADISON BREWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8080 BLUEBONNET BLVD STE 3100, BATON ROUGE, LA 70810
(225) 924-2424
(225) 408-7854
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 408-6633
(225) 408-7965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
339178
LA
Other
Enumeration date
05/13/2022
Last updated
04/17/2024
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