Individual
DR. MARK GREGORY GARBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18971 SANTA MARIA DR, BATON ROUGE, LA 70809
(225) 329-7545
Mailing address
18971 SANTA MARIA DR, BATON ROUGE, LA 70809-6765
(225) 329-7545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15728R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475491
—
LA
01
—
1861488793
NPI
LA
01
—
P00330846
RAIL ROAD MEDICARE
LA
Enumeration date
09/26/2005
Last updated
01/21/2019
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