Organization
BATON ROUGE GENERAL MEDICAL CENTER
Active
Other names
BRG Comprehensive Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (CFO)
(225) 237-1645
Entity
Organization
Contact information
Practice address
8585 PICARDY AVE STE 412, BATON ROUGE, LA 70809-3749
(225) 387-7077
(225) 442-5088
Mailing address
8490 PICARDY AVE STE 200, BATON ROUGE, LA 70809-3733
(225) 237-1505
(225) 237-1623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261000000X
—
LA
Enumeration date
05/10/2018
Last updated
10/22/2019
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