Individual
HAILEY TARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3748
(225) 763-4764
(225) 763-4549
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 246-9790
(225) 246-9160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328256
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468031
—
LA
Enumeration date
03/27/2018
Last updated
10/10/2021
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