Individual
DR. REBECCA ELAINE WHIDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10101 PARK ROWE AVE, STE. 200, BATON ROUGE, LA 70810-1686
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
205869
LA
2084N0400X
Neurology Physician
P4396
TX
2084N0400X
Neurology Physician
R70608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007633
—
LA
01
—
205869
MD LICENSE
LA
01
—
P01262315
RAILROAD MEDICARE
LA
Enumeration date
09/04/2007
Last updated
03/03/2014
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