Organization
GOODWOOD PRIMARY CARE CLINIC, LLC
Active
Parent organization
NONE
Other names
goodwood primary care clinic, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
DR. JONATHAN ROBERTS PH.D (CEO)
(225) 952-9460
Entity
Organization
Contact information
Practice address
8333 GOODWOOD BLVD, BATON ROUGE, LA 70806-7744
(225) 952-9460
(225) 952-9459
Mailing address
8333 GOODWOOD BLVD, BATON ROUGE, LA 70806-7744
(225) 952-9460
(225) 952-9459
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
09/18/2008
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