Individual
NOELL S ACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
DEPT 952639, ATLANTA, GA 31192-2639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
304168
LA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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