Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 04615R | LA |
Y | 2080P0214X | Pediatric Pulmonologist | 04615R | LA |
NPI | 1265545701 |
---|---|
Provider Name | Joseph D. Awotwi |
First Address | Baton Rouge, LA 70896-7238 |
Second Address | Alexandria, LA 71301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 09/07/2009 |