Organization
SPINE DIAGNOSTIC CENTER OF BATON ROUGE, INC A PROFESSIONAL MEDICAL COR
Active
Other names
The Spine Diagnostic and Pain Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANETTE TAYLOR CARGIL (OPERATIONS MANAGER)
(225) 769-1786
Entity
Organization
Contact information
Practice address
5408 FLANDERS DR, BATON ROUGE, LA 70808-9168
(225) 769-5554
(225) 769-3334
Mailing address
PO BOX 84128, 10523 N OAK HILL PKWY STE. B, BATON ROUGE, LA 70884-4128
(225) 769-1786
(225) 769-1766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17228
LA
Other
Enumeration date
06/28/2006
Last updated
11/23/2021
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