| Metabolic Spectrum Center | |
|
8490 Picardy Ave Suite 600d Baton Rouge LA 70809-3731 | |
| (225) 819-1175 | |
| Not Available |
| Full Name | Metabolic Spectrum Center |
|---|---|
| Speciality | Family Medicine |
| Location | 8490 Picardy Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall A. Johnson (C.F.O.) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metabolic Spectrum Center Po Box 4869 Dept: 235 Houston TX 77210-4869 Ph: () - | Metabolic Spectrum Center 8490 Picardy Ave Suite 600d Baton Rouge LA 70809-3731 Ph: (225) 819-1175 |
| NPI Number | 1518219112 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 12/26/2018 |
| Medicare PECOS PAC ID | 5193623643 |
|---|---|
| Medicare Enrollment ID | O20200310000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518219112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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