Gulf South Primary Care

NPI 1093028060 - General Practice - 208D00000X

NPI Details
NPI 1093028060
Enumeration Date 07/20/2010
Last Updated 07/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEPHEN STEPHEN
Position OWNER
Phone (225) 368-2480
Fax
Practice Location
5145 BLUEBONNET BLVD
BATON ROUGE LA, 70809-3076, US
Phone (225) 368-2480
Fax
Business Location
5145 BLUEBONNET BLVD
BATON ROUGE LA, 70809-3076, US
Phone (225) 368-2480
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Louisiana
License Number 025275
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According to our database, Gulf South Primary Care NPI is 1093028060, taxonomy code is 208D00000X and license number is 025275, license state is located at Louisiana. Gulf South Primary Care physically located at 5145 Bluebonnet Blvd, Baton Rouge LA, 70809-3076. NPI Number 1033115704 has the healthcare provider type.

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1093028060 NPI number is provided on an as is basis without warranty of any kind. 1093028060 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf South Primary Care are for informational purposes only.