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1134758303
CARLY THAXTON MONTCALM
BATON ROUGE, LA
NPI
1134758303
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Former Name
CARLY THAXTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 335691)
Enumeration Date
2020-04-08
Last Update Date
2023-08-10
Business Address
Dr. CARLY THAXTON MONTCALM MD
7373 PERKINS RD
BATON ROUGE, LA 70808-4373
Phone number: 225-769-4044
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Mailing Address
Dr. CARLY THAXTON MONTCALM MD
7373 PERKINS ROAD
BATON ROUGE, LA 70808-4326
Phone number: 225-246-9790
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