NPI 1104476233

Garrick L Mayweather

Practitioner Contractor Baton Rouge, LA

Practice location

Address: 15625 Council Ave, Baton Rouge, LA 70817-5502
Phone: (225) 205-7181

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1104476233
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2019
Record last updated: 20 Sep 2019

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.