GULF SOUTH PRIMARY CARE

BATON ROUGE, LA
NPI1093028060
Entity TypeOrganization
Authorized ContactStephen Guilbault
Owner
225-892-2872
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: LA  025275)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
GULF SOUTH PRIMARY CARE
5145 BLUEBONNET BLVD
BATON ROUGE, LA 70809-3076
Phone number: 225-368-2480
Mailing Address
GULF SOUTH PRIMARY CARE
5145 BLUEBONNET BLVD
BATON ROUGE, LA 70809-3076
Phone number: 225-368-2480