Individual
DR. NICHOLAS BOOTH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3465
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7290
NE
2085R0202X
Diagnostic Radiology Physician
Primary
322236
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533398
—
LA
Enumeration date
07/10/2014
Last updated
09/14/2020
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