Organization · Type 2 NPI
Fertile Crescent Pediatrics, LLC
Clinic/Center · Baton Rouge, LA
NPI number
1902131667
Active
Practice location
730 Colonial Dr, Suite B
Baton Rouge, LA 70806-6536
Fax (225) 924-7347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 023350 (LA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1902131667
Fertile Crescent Pediatrics, LLC's National Provider Identifier is 1902131667, issued on Oct 13, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 13, 2009.