KASEY SCALLAN GORA

BATON ROUGE, LA
NPI1922447028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200623)
Enumeration Date2013-06-21
Last Update Date2016-07-20
Business Address
-- KASEY SCALLAN GORA PA
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-926-8686
Mailing Address
-- KASEY SCALLAN GORA PA
LOCK BOX DEPT AT 952639
ATLANTA, GA 31192-2639
Phone number: 800-684-0857