Individual
JEREMY C O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494
Mailing address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
203646
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111736
—
LA
Enumeration date
05/07/2007
Last updated
07/07/2022
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