NPI: 1427236660
Provider Name: GOODWOOD PRIMARY CARE CLINIC, LLC
Doing Business As: GOODWOOD PRIMARY CARE CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization
Specialization: Primary Care
Address:
8333 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 952-9460
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GOODWOOD PRIMARY CARE CLINIC, LLC is a primary care clinic center in Baton Rouge, LA. GOODWOOD PRIMARY CARE CLINIC, LLC NPI is 1427236660. The provider is registered as an organization entity type.
The provider Is Doing Business As Goodwood Primary Care Clinic, Llc.
The provider's business location address is:
8333 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70806-744
Phone: (225) 952-9460
Fax: (225) 952-9459
The provider's authorized official is Jonathan Roberts .
The authorized official title is Ceo and has the following contact phone number (225) 952-9460.
The enumeration date for this NPI number is 2/8/2008 and was last updated on 9/18/2008.