Organization
ACCEPTANCE COMMUNITY CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARITA DAVIS ACKLIN (ADMINISTRATOR)
(225) 382-3920
Entity
Organization
Contact information
Practice address
15142 MARY ELIZABETH DR, BATON ROUGE, LA 70816-9043
(225) 382-3920
(225) 382-3925
Mailing address
15142 MARY ELIZABETH DR, BATON ROUGE, LA 70816-9043
(225) 382-3920
(225) 382-3925
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
MD021278
LA
363L00000X
Nurse Practitioner
Primary
AP05942
LA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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