Individual
DR. TIM EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LSU STUDENT HEALTH CTR, INFIRMARY ROAD, BATON ROUGE, LA 70803-0001
(225) 758-6271
Mailing address
17921 INVERNESS AVE, BATON ROUGE, LA 70810-5978
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD012270
LA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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