Organization
ACCEPTANCE KIDMED OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARITA DAVIS ACKLIN (OWNER)
(225) 382-3920
Entity
Organization
Contact information
Practice address
2708 WOODDALE BLVD, SUITE A2, BATON ROUGE, LA 70805-7541
(225) 382-3920
(225) 382-3925
Mailing address
2708 WOODDALE BLVD, SUITE A2, BATON ROUGE, LA 70805-7541
(225) 382-3920
(225) 382-3925
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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