Provider First Line Business Practice Location Address:
3401 NORTH BLVD. BATON ROUGE GENERAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-610-6247
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2025