Individual ProviderRoslyn M TaborFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411(225) 757-8185PECOS EnrollmentBased on the most recent information from CMS, provider Roslyn M Tabor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1619945110Provider TypeIndividualFull NameTabor, Roslyn MTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/9/2006Last Updated3/25/2008Contact InformationPractice LocationPractice Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411Phone(225) 757-8185Fax(225) 757-8185Mailing LocationMailing Address8044 Summa Ave, Bldg 1 Suite A, Baton Rouge, LA 70809-3411Phone(225) 757-8185Fax(225) 757-8185Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense017770LouisianaProvider IdentifiersIDDescriptionIssuerID1693294DescriptionMedicaidIssuerUnlistedLouisiana