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Providence Medical Clinic
Primary Care Clinic/Center in Baton Rouge, Louisiana
NPI 1700092442

Providence Medical Clinic is a Primary Care Clinic/Center based in Baton Rouge, LA and is specialized in Primary Care. Providence Medical Clinic practices in Baton Rouge, LA. The NPI Number for Providence Medical Clinic is 1700092442 and holds a License No. (Louisiana).

The current practice location address for Providence Medical Clinic is 9270 Siegen Ln, Baton Rouge, LA and can be reached out via phone at 225-766-8152.

Location: 9270 Siegen Ln, Baton Rouge, LA, 70810-5195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700092442
Provider Name
Providence Medical Clinic
Credential
Provider Entity Type
Organization
Address
9270 Siegen Ln, Baton Rouge, LA, 70810-5195
Phone Number
225-766-8152
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9270 Siegen Ln
City
Baton Rouge
State
Louisiana
Zip
70810-1998
Phone Number
225-766-8152
Fax Number
person
Provider Business Mailing Address Details
Address
9270 Siegen Ln
City
Baton Rouge
State
Louisiana
Zip
70810-1998
Phone Number
225-766-8152
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Louisiana)
Definition
Definition to come...
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