Individual
JONATHAN PAUL MCCLELLAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 246-9301
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 246-9301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14334R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105929
—
LA
Enumeration date
07/25/2006
Last updated
02/07/2011
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