Organization
MY DOC AT HOME LLC
Active
Other names
My Doc @ Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MARTIN JR. (CEO)
(504) 491-4988
Entity
Organization
Contact information
Practice address
4301 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9643
(504) 491-4988
Mailing address
4301 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9643
(504) 491-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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