Individual
THOMAS C ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 CONSTANTIN BLVD STE 210, BATON ROUGE, LA 70809-3481
(225) 765-5500
(225) 374-1614
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0101262040
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
328409
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2571451
—
LA
01
—
328409
STATE LICENSE
LA
Enumeration date
07/08/2006
Last updated
04/25/2022
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