Organization
BATON ROUGE GENERAL PHYSICIANS INC.
Active
Organization
BATON ROUGE GENERAL PHYSICIANS INC.
Active
Other names
Baton Rouge General Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
6615 PERKINS RD, BATON ROUGE, LA 70808-4261
(225) 819-1190
(225) 819-1199
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2339486
—
LA
01
—
5D409
MEDICARE GROUP PTAN
LA
01
—
K3015
BCBS ILINKBLUE
LA
Enumeration date
03/04/2013
Last updated
10/12/2015
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