| Corey Hall Md Llc | |
|
606 Colonial Dr Suite A Baton Rouge LA 70806-6535 | |
| (225) 678-5316 | |
| (225) 927-6399 |
| Full Name | Corey Hall Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 606 Colonial Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Corey M Hall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2256785316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Hall Md Llc 606 Colonial Dr Baton Rouge LA 70806-6535 Ph: (225) 678-5316 | Corey Hall Md Llc 606 Colonial Dr Suite A Baton Rouge LA 70806-6535 Ph: (225) 678-5316 |
| NPI Number | 1902126907 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902126907 | NPI | - | NPPES |
| 1140651 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14754R (Louisiana) | Primary |
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