Organization
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC
Active
Other names
Bella Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (CFO)
(225) 237-1645
Entity
Organization
Contact information
Practice address
10127 FLORIDA BLVD, BATON ROUGE, LA 70815-1765
(225) 272-0106
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378861
—
LA
Enumeration date
10/21/2011
Last updated
08/01/2014
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