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Contact Information

ELLIOTT BREAST CLINIC
541 SHADOWS LN STE C
BATON ROUGE, LA70806-6559
 Phone: 225-755-3070
 Fax: 225-755-3085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ELLIOTT BREAST CLINIC · (Female)

NPI Number 1427633197
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2021
Last updated 03/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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