Organization
CAROL M. PATIN, M.D.,A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M. PATIN M.D. (OWNER.PHYSICIAN)
(225) 763-4990
Entity
Organization
Contact information
Practice address
8595 PICARDY AVE, SUITE 230, BATON ROUGE, LA 70809-3670
(225) 763-4990
(225) 763-4987
Mailing address
8595 PICARDY AVE, SUITE 230, BATON ROUGE, LA 70809-3670
(225) 763-4990
(225) 763-4987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038245
—
LA
Enumeration date
06/09/2008
Last updated
07/09/2012
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