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Individual

JUSTIN CREEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 756-6565
Mailing address
18610 CREEK HOLLOW CT, BATON ROUGE, LA 70817-3947
(225) 274-5480

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
310524
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
05/01/2017
Last updated
09/04/2025
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