Individual
CARL JOSEPH GIFFIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4782
(225) 757-4070
Mailing address
5246 BRITTANY DR, BATON ROUGE, LA 70808-4782
(225) 757-4091
(225) 757-4093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.206483
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300563
—
LA
01
—
P01538740
RAILROAD MEDICARE
—
Enumeration date
03/20/2012
Last updated
02/16/2017
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