Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 14408R | LA |
Y | 111NI0900X | Internist | 14408R | LA |
N | 207RH0000X | Hematologist | 14408R | LA |
N | 207RX0202X | Medical Oncology | 14408R | LA |
NPI | 1194743849 |
---|---|
Provider Name | Dr. Mary Virginia Stringfellow |
First Address | Baton Rouge, LA 70816 |
Second Address | Baton Rouge, LA 70808-4370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1128121 | (05) | LA |
H69271 | (02) |