Organization · Type 2 NPI
Gulf South Primary Care
General Practice Physician · Baton Rouge, LA
NPI number
1093028060
Active
Practice location
5145 Bluebonnet Blvd
Baton Rouge, LA 70809-3076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 025275 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1093028060
Gulf South Primary Care's National Provider Identifier is 1093028060, issued on Jul 20, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 20, 2010.