NPI Profile for MATS CLINIC LLC in BATON ROUGE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine |
| NPI # | 1326875931 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/17/2024 | |
| Last updated | 03/13/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MATS CLINIC LLC
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