Search › Louisiana › 171M00000X
Demetrius Clark
NPI 1447772546 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6044 Ingram Dr
Baton Rouge, LA 70812 - Phone
- (225) 315-2104
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 106S00000X
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana