Organization
PRESTIGE WORLDWIDE, LLC
Active
Other names
CENLA Behavioral Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JEFFREY CHARLES RODGMAN MD (OWNER)
(318) 704-6008
Entity
Organization
Contact information
Practice address
5505 JOHN ESKEW DR, ALEXANDRIA, LA 71303-3725
(318) 704-6008
Mailing address
5505 JOHN ESKEW DR, ALEXANDRIA, LA 71303-3725
(318) 704-6008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.205436
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927597
—
LA
Enumeration date
09/20/2017
Last updated
07/21/2022
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