Organization
BATON ROUGE GENERAL MEDICAL CENTER
Active
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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