Provider First Line Business Practice Location Address:
BATON ROUGE GENERAL MID-CITY, MEDICINE CLINIC,
Provider Second Line Business Practice Location Address:
3401 NORTH BOULEVARD, SUITE 130
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:
225-387-7900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2021