NPI 1932672979

Jacob Davis

Practitioner Health Maintenance Organization Baton Rouge, LA

Practice location

Address: 606 Colonial Dr STE B, Baton Rouge, LA 70806-6535
Phone: (225) 406-7670

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 5559 (LA)

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Registry record

NPI: 1932672979
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2019
Record last updated: 2 Jan 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.