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1700352499
MARK SHOPTAUGH JR. MD LLC
BATON ROUGE, LA
NPI
1700352499
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Entity Type
Organization
Authorized Contact
MARK CHARLES SHOPTAUGH
Owner
225-603-5935
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
MARK SHOPTAUGH JR. MD LLC
4363 CONVENTION ST
BATON ROUGE, LA 70806-3906
Phone number: 225-522-4076
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Mailing Address
MARK SHOPTAUGH JR. MD LLC
3133 GRAND WAY AVE
BATON ROUGE, LA 70810-0422
Phone number: 225-603-5935
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