Stacy D Jones Md | |
3401 North Blvd 130 Baton Rouge LA 70806-3743 | |
(225) 381-2727 | |
Not Available |
Full Name | Stacy D Jones Md |
---|---|
Speciality | Family Medicine |
Location | 3401 North Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Stacy D Jones (OWNER) |
Authorized Official Contact | 2253812727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacy D Jones Md Po Box 64680 Baton Rouge LA 70896-4680 Ph: () - | Stacy D Jones Md 3401 North Blvd 130 Baton Rouge LA 70806-3743 Ph: (225) 381-2727 |
NPI Number | 1821241217 |
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Provider Enumeration Date | 10/29/2008 |
Last Update Date | 01/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821241217 | NPI | - | NPPES |
1091782 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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