| Southern Regional Medical Center | |
|
4550 North Blvd Ste 100 Baton Rouge LA 70806 | |
| (225) 926-3343 | |
| (225) 926-3346 |
| Full Name | Southern Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4550 North Blvd Ste 100, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Charles M. Harvey (PRESIDENT/CEO) |
| Authorized Official Contact | 2259263343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Regional Medical Center 4550 North Blvd Ste 100 Baton Rouge LA 70806 Ph: (225) 926-3343 | Southern Regional Medical Center 4550 North Blvd Ste 100 Baton Rouge LA 70806 Ph: (225) 926-3343 |
| NPI Number | 1982467486 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982467486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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