Search › Louisiana › 1744P3200X
Athan Jefferson
NPI 1598246670 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1097 S Flannery Rd
Baton Rouge, LA 70815 - Phone
- (504) 957-0001
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-27
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