| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033183769 | BERGGREEN | CHARLES | COLE | 9103 JEFFERSON HWY | BATON ROUGE | LA | 708092440 | |
| 1780651125 | DUNSTON | DIANA | HOLTZ | 9103 JEFFERSON HWY | BATON ROUGE | LA | 708092440 | |
| 1003881616 | FUSILIER | GREGORY | 9103 JEFFERSON HWY | BATON ROUGE | LA | 708092440 | ||
| 1407823594 | IEYOUB | JONATHAN | DANIEL | 9103 JEFFERSON HWY | BATON ROUGE | LA | 708092440 | |
| 1932174364 | RUTH | MICHAEL | 9103 JEFFERSON HWY | BATON ROUGE | LA | 708092440 |