Organization
HOSPITAL MEDICINE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE E VIATOR (SR. VP AND CFO)
(225) 237-1540
Entity
Organization
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70826
(337) 289-8971
(337) 289-8970
Mailing address
PO BOX 261164, BATON ROUGE, LA 70826
(337) 289-8971
(337) 289-8970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448478
—
LA
01
—
DE4744
RAILROAD MEDICARE
LA
Enumeration date
07/27/2006
Last updated
05/05/2008
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