Organization
IMMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS DUET ANDERSON MD (OWNER/PHYSICIAN)
(985) 637-6629
Entity
Organization
Contact information
Practice address
10101 PARK ROWE AVE, BATON ROUGE, LA 70810-1686
(225) 769-2200
Mailing address
2310 MARIANNE AVE, ZACHARY, LA 70791-2740
(985) 637-6629
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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