Provider Demographics
NPI:1356845515
Name:VOISIN, GARRETT CHARLES (BA)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:CHARLES
Last Name:VOISIN
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13416 ARNOLD RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-4435
Mailing Address - Country:US
Mailing Address - Phone:225-892-3681
Mailing Address - Fax:
Practice Address - Street 1:14635 S HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2959
Practice Address - Country:US
Practice Address - Phone:985-956-7560
Practice Address - Fax:985-956-7561
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist