Organization
ROGER D RHOLDON JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE MELANCON (CREDENTIALING)
(337) 367-2001
Entity
Organization
Contact information
Practice address
6100 CAMERON ST, SCOTT, LA 70583-5144
(337) 289-6770
Mailing address
6100 CAMERON ST, SCOTT, LA 70583-5144
(337) 289-6770
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07699
LA
Other
Enumeration date
04/03/2014
Last updated
07/11/2014
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