| Baton Rouge General Primary Care, Llc | |
|
5353 Florida Blvd Baton Rouge LA 70806-4130 | |
| (225) 367-4558 | |
| (225) 367-4576 |
| Full Name | Baton Rouge General Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5353 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall Johnson (C.F.O.) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge General Primary Care, Llc 8490 Picardy Ave Bldg 200 Baton Rouge LA 70809-3731 Ph: (225) 237-1754 | Baton Rouge General Primary Care, Llc 5353 Florida Blvd Baton Rouge LA 70806-4130 Ph: (225) 367-4558 |
| NPI Number | 1114356979 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114356979 | NPI | - | NPPES |
| 1114356979 | Other | NPPES | |
| 1443328 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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