Organization · NPI-2

Baton Rouge Walk In Clinic, LLC

Medical Genetics, Ph.D. Medical Genetics · Baton Rouge, LA

NPI number1538306154
StatusActive
Last updated in NPPESJan 20, 2009

Details

NPI
1538306154
Entity type
Organization (NPI-2)
Legal business name
Baton Rouge Walk In Clinic, LLC
Organization subpart
No
Enumeration date
Jan 20, 2009
Last updated
Jan 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical Genetics––Yes

Practice location

4000 Gus Young Ave
Suite 104
Baton Rouge, LA 70802-1700

Phone 225-382-3922 · Fax 225-382-3925

Mailing address

4000 Gus Young Ave
Suite 104
Baton Rouge, LA 70802-1700

Phone 225-382-3922 · Fax 225-382-3925

Authorized official

Sharita Davis Acklin
Administrator
2253823922

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