Individual
DR. TERRY CHRIS STELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OUR LADY OF THE LAKE PHYSICIAN GROUP CARDIOTHORACIC SUR, 7777 HENNESSY BOULEVARD SUITE 8001, BATON ROUGE, LA 70808
(225) 490-7224
(225) 490-7223
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
00015345
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
320795
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026638
—
AL
01
—
510-26638
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/13/2005
Last updated
04/27/2021
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