Individual
DR. CLAUDE JENKINS TELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5711
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5711
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L011480
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388777
—
LA
Enumeration date
07/11/2006
Last updated
12/18/2007
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