Provider Demographics
NPI:1124191598
Name:SINGLETON-ALFRED, VIRGINIA S (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:S
Last Name:SINGLETON-ALFRED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:337-521-9100
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4600 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6902
Practice Address - Country:US
Practice Address - Phone:337-521-9100
Practice Address - Fax:337-470-2019
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA021559207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LADG1605OtherRR MEDICARE GROUP
LA1670090Medicaid
LADG1605OtherRR MEDICARE GROUP
LA1670090Medicare ID - Type Unspecified
LA5H870CY30Medicare PIN
F43762Medicare UPIN
LA5H870Medicare ID - Type Unspecified