Individual
ASHLEY DOUCET BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 ROBERTS DR, SUITE I, NEW ROADS, LA 70760-2661
(225) 638-4585
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 246-9790
(225) 246-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206276
STATE LICENSES
LA
05
—
2199056
—
LA
Enumeration date
03/20/2012
Last updated
01/27/2021
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