Individual
AMY STOCKSTILL GIARRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026404
LA
208000000X
Pediatrics Physician
026404
LA
208M00000X
Hospitalist Physician
Primary
026404
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02034237
—
MS
05
—
1065412
—
LA
Enumeration date
07/10/2006
Last updated
01/08/2021
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