Organization
BATON ROUGE GENERAL MEDICAL CENTER
Active
Other names
BRGP Family Medicine-Port Allen, BATON ROUGE GENERAL PHYSICIANS FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
(225) 267-6626
(225) 267-5993
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019597
LA
Other
Enumeration date
10/29/2013
Last updated
12/26/2018
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