Organization
ENT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F MITCHELL M.D. (SENIOR PARTNER)
(225) 769-1090
Entity
Organization
Contact information
Practice address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 769-1090
(225) 769-4812
Mailing address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 769-1090
(225) 769-4812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1797693
—
LA
Enumeration date
10/24/2005
Last updated
08/22/2020
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