Individual
ANDRIETTE MARTIN FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4336 NORTH BLVD, SUITE 103, BATON ROUGE, LA 70806-3920
(225) 383-3187
(225) 383-3190
Mailing address
4336 NORTH BLVD., SUITE 103, BATON ROUGE, LOUISIANA 70806
(225) 383-3187
(225) 383-3190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23650
LA
208000000X
Pediatrics Physician
23650
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484121
—
LA
Enumeration date
03/17/2006
Last updated
03/27/2017
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