NPI 1386176683
Nhs
Practice location
- Address
- 711 Colonial Dr, Baton Rouge, LA 70806-6549
- Phone
- (225) 246-2162
Authorised official
- Name
- Deon Smith
- Title
- Director
- Phone
- (225) 246-2162
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1386176683
- Entity type
- Organization
- NPI issued
- 28 Mar 2017
- Record last updated
- 28 Mar 2017
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.