Individual
ALTON JOHN MCGEE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5364 LAREDO AVE, BATON ROUGE, LA 70811-4023
(225) 205-8537
Mailing address
5364 LAREDO AVE, BATON ROUGE, LA 70811-4023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
08/19/2017
Last updated
12/31/2018
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