Provider First Line Business Practice Location Address:
8585 PICARDY AVE STE 114
Provider Second Line Business Practice Location Address:
C/O HOSPITAL MEDICINE GROUP
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70809-3679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-387-7908
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2015