Organization
GHERE PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MOCK (BILLING MANAGER)
(225) 532-4059
Entity
Organization
Contact information
Practice address
6717 PERKINS RD, BATON ROUGE, LA 70808-4263
(225) 953-7813
(225) 953-8432
Mailing address
6717 PERKINS RD, BATON ROUGE, LA 70808-4263
(225) 953-7813
(225) 953-8432
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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