Individual
DR. ROSLYN M TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8044 SUMMA AVE, BLDG 1 SUITE A, BATON ROUGE, LA 70809-3411
(225) 757-8185
(225) 757-8185
Mailing address
8044 SUMMA AVE, BLDG 1 SUITE A, BATON ROUGE, LA 70809-3411
(225) 757-8185
(225) 757-8185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017770
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693294
—
LA
Enumeration date
03/09/2006
Last updated
03/25/2008
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