Organization
NEPHROLOGY MANAGEMENT LLC
Active
Parent organization
RENAL ASSOCIATES OF BATON ROUGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAL ASSOCIATES OF BATON ROUGE LLC
Authorized official
MS. MARY ALICE STANFORD (ADMINSTRATOR)
(225) 767-4893
Entity
Organization
Contact information
Practice address
5131 ODONOVAN DR, 1ST FLOOR, BATON ROUGE, LA 70808-4791
(225) 767-4893
Mailing address
PO BOX 83130, BATON ROUGE, LA 70884-3130
(225) 767-4893
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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