NPI | 1407284540 |
---|---|
Doing Business As | BRGP FAMILY MEDICINE-PORT ALLEN |
Doing Business As | BATON ROUGE GENERAL PHYSICIANS FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KENDALL JOHNSON C.F.O. 225-237-1645 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD019597) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2018-12-26 |