| Red Stick Physicians Group LLC | |
|
12011 Bricksome Ave Ste B Baton Rouge LA 70816-2994 | |
| (225) 713-4050 | |
| (225) 713-4050 |
| Full Name | Red Stick Physicians Group LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12011 Bricksome Ave Ste B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kaley Benson (CEO) |
| Authorized Official Contact | 2259784264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Stick Physicians Group LLC 12011 Bricksome Ave Ste B Baton Rouge LA 70816-2994 Ph: (225) 713-4050 | Red Stick Physicians Group LLC 12011 Bricksome Ave Ste B Baton Rouge LA 70816-2994 Ph: (225) 713-4050 |
| NPI Number | 1316728736 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316728736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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