Individual
DR. EDITH MBAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 381-6620
(225) 381-2579
Mailing address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 387-7899
(225) 381-2579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300651
LA
Other
Enumeration date
04/08/2014
Last updated
08/19/2016
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