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Individual

DR. MANDY BRAUD GRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12525 PERKINS RD, SUITE C, BATON ROUGE, LA 70810-1907
(225) 769-2003
(225) 767-3055
Mailing address
12525 PERKINS RD, SUITE C, BATON ROUGE, LA 70810-1907
(225) 769-2003
(225) 767-3055

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200331
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1628271
LA
Enumeration date
07/20/2005
Last updated
02/10/2021
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