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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERON GARRICK MCCORMICK, MD

Active

THERON GARRICK MCCORMICK, MD is a Pediatric Allergy/Immunology healthcare provider located in BATON ROUGE, Louisiana. NPI 1649367541 is currently active in the NPPES registry. Verify at CMS.

Pediatric Allergy/Immunology · BATON ROUGE, LA

Registration Details

NPI Number
1649367541
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.867824875294 yrs)
Last Updated
Feb 5, 2021
Licenses
201441 (LA)
L5832 (TX)
201441 (LA)

Practice Information

Address
8200 CONSTANTIN BLVD FL 3
BATON ROUGE, LA, 708093481
Browse LA providers · Browse ZIP 70809
Phone
2257655500
Fax
2257654378
Primary Specialty
Pediatric Allergy/Immunology
2080P0201X
Additional Specialty
Allergy & Immunology
Additional Specialty
Pediatric Allergy/Immunology

Other Pediatric Allergy/Immunology Providers in BATON ROUGE, LA

Name Credential NPI
DR. SANDHYA DEVI MANI M.D. 1205026770
KATHRYN NEUPERT SPENCER M.D. 1336535525
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.