| The Medical Spa Of Baton Rouge | |
|
7150 Jefferson Hwy Suite 530 Baton Rouge LA 70806-8128 | |
| (225) 216-7885 | |
| Not Available |
| Full Name | The Medical Spa Of Baton Rouge |
|---|---|
| Speciality | Internal Medicine |
| Location | 7150 Jefferson Hwy, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kenyatta Dayatra Shamlin (CO-OWNER) |
| Authorized Official Contact | 2252167885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Spa Of Baton Rouge 7150 Jefferson Hwy Suite 530 Baton Rouge LA 70806-8128 Ph: (225) 216-7885 | The Medical Spa Of Baton Rouge 7150 Jefferson Hwy Suite 530 Baton Rouge LA 70806-8128 Ph: (225) 216-7885 |
| NPI Number | 1275856270 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275856270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202129 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 025911 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | 025910 (Louisiana) | Secondary |
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