NPI 1215717319

Evernorth Care Providers - Tennessee PC

Organisation General Practice Physician Baton Rouge, LA

Practice location

Address: 301 Main St STE 2200, Baton Rouge, LA 70801-0014
Phone: (773) 292-4800
Fax: (312) 564-4059
Mailing address: 730 Cool Springs Blvd STE 500, Franklin, TN 37067-7331

Authorised official

Name: Grace V Blue
Title: Credentialing Sr. Manager
Phone: (773) 292-4800

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Louisiana →

Registry record

NPI: 1215717319
Entity type: Organization
NPI issued: 5 Oct 2023
Record last updated: 14 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.