Organization
CAPITAL CITY MEDICAL GROUP, LLC
Active
Other names
Primary Care Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ALDEN KELLOGG (ASSOCIATE GENERAL COUNSEL)
(504) 681-8532
Entity
Organization
Contact information
Practice address
7049 PERKINS RD, BATON ROUGE, LA 70808
(225) 926-7200
(225) 706-2182
Mailing address
3838 N CAUSEWAY BLVD, SUITE 2550, METAIRIE, LA 70002-8194
(504) 681-8259
(504) 681-8260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
05/12/2014
Last updated
08/24/2018
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