Provider Demographics
NPI:1831238336
Name:DRS COOGAN, DRUMM AND MELTON
Entity type:Organization
Organization Name:DRS COOGAN, DRUMM AND MELTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-925-2446
Mailing Address - Street 1:541 SHADOWS LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6531
Mailing Address - Country:US
Mailing Address - Phone:225-925-2446
Mailing Address - Fax:225-926-8074
Practice Address - Street 1:541 SHADOWS LN
Practice Address - Street 2:SUITE C
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6531
Practice Address - Country:US
Practice Address - Phone:225-925-2446
Practice Address - Fax:225-926-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA411817208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty