| Baton Rouge General Gastroenterology | |
|
6615 Perkins Rd Baton Rouge LA 70808-4261 | |
| (225) 819-1190 | |
| (225) 819-1199 |
| Full Name | Baton Rouge General Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6615 Perkins Rd, 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 Gastroenterology 8490 Picardy Ave Bldg 200 Baton Rouge LA 70809-3731 Ph: (225) 237-1754 | Baton Rouge General Gastroenterology 6615 Perkins Rd Baton Rouge LA 70808-4261 Ph: (225) 819-1190 |
| NPI Number | 1952642878 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952642878 | NPI | - | NPPES |
| 5D409 | Other | LA | MEDICARE GROUP PTAN |
| 2339486 | Medicaid | LA | |
| K3015 | Other | LA | BCBS ILINKBLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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