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1083067235
MADISON BRYANT CORLEY
BATON ROUGE, LA
NPI
1083067235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 302201)
Enumeration Date
2016-07-22
Last Update Date
2023-03-02
Business Address
MADISON BRYANT CORLEY PA
7301 HENNESSY BLVD STE 200
BATON ROUGE, LA 70808-4794
Phone number: 225-766-0050
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Mailing Address
MADISON BRYANT CORLEY PA
PO BOX 98035
BATON ROUGE, LA 70898-9035
Phone number:
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