Organization
ELLIOTT BREAST CLINIC
Active
Organization
ELLIOTT BREAST CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE C BAUCOM MD, PH.D (OWNER)
(225) 755-3070
Entity
Organization
Contact information
Practice address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6559
(225) 755-3070
(225) 755-3085
Mailing address
541 SHADOWS LN STE C, BATON ROUGE, LA 70806-6559
(225) 906-2621
(225) 755-3085
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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