Organization
RED STICK CARDIOLOGY LLC
Active
Organization
RED STICK CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALLEN THOMPSON MD (PHYSICIAN)
(225) 753-8686
Entity
Organization
Contact information
Practice address
17050 MEDICAL CENTER DR, STE 111, BATON ROUGE, LA 70816-3252
(225) 753-8686
(225) 753-8774
Mailing address
17050 MEDICAL CENTER DR, STE 111, BATON ROUGE, LA 70816-3252
(225) 753-8686
(225) 753-8774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10749R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666840
—
LA
Enumeration date
01/06/2006
Last updated
08/22/2020
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