Organization
BATON ROUGE GENERAL PRIMARY CARE, LLC
Active
Other names
PRIMARY CARE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
5353 FLORIDA BLVD, BATON ROUGE, LA 70806-4130
(225) 367-4558
(225) 367-4576
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114356979
NPPES
—
05
—
1443328
—
LA
Enumeration date
11/02/2013
Last updated
12/26/2018
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