Organization
BATON ROUGE GENERAL PRIMARY CARE, LLC
Active
Parent organization
BATON ROUGE GENERAL PRIMARY CARE, LLC
Other names
Minsky and Carver Medical Center for Personal Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BATON ROUGE GENERAL PRIMARY CARE, LLC
Authorized official
MR. KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
8585 PICARDY AVE, SUITE 513, BATON ROUGE, LA 70809-3679
(225) 819-1198
(225) 819-1189
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DV54
MEDICARE GROUP PTAN
LA
Enumeration date
07/20/2011
Last updated
12/08/2015
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