Individual
MR. BOBBY TIMOTHY CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6863 BLUEGRASS DRIVE, BATON ROUGE, LA 70811
(225) 485-6116
Mailing address
6863 BLUEGRASS DRIVE, BATON ROUGE, LA 70811
(225) 485-6116
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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