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Organization

M. GILES FORT, M.D. ( A.P.M.C.)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILTON GILES FORT M.D. (OWNER)
(225) 216-3006
Entity
Organization

Contact information

Practice address
9000 AIRLINE HWY, SUITE 210, BATON ROUGE, LA 70815-4114
(225) 216-3006
(225) 216-1081
Mailing address
9000 AIRLINE HWY, SUITE 210, BATON ROUGE, LA 70815-4114
(225) 216-3006
(225) 216-1081

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1359556
LA
Enumeration date
08/11/2010
Last updated
02/23/2011
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