Southern Regional Medical Center
Clinic/Center, Primary Care in Baton Rouge, LA. Organization (NPI-2).
NPI number1982467486
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1982467486
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Regional Medical Center
- Organization subpart
- No
- Enumeration date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4550 North Blvd Ste 100Baton Rouge, LA 70806
Phone 225-926-3343 · Fax 225-926-3346
Mailing address
4550 North Blvd Ste 100Baton Rouge, LA 70806
Phone 225-926-3343 · Fax 225-926-3346
Authorized official
Charles M. Harvey
President/Ceo
2259263343
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