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Organization
BLACK-SMITH TRIO
Active
Organization
BLACK-SMITH TRIO
Active
Other names
Bayou Region Health System, Bayou Region Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SAMONA SMITH DREXLER NP (NURSE PRACTITIONER)
(337) 356-5168
Entity
Organization
Contact information
Practice address
3915 DARNALL RD, NEW IBERIA, LA 70560-0459
(337) 365-1305
Mailing address
PO BOX 468, JEANERETTE, LA 70544-0468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
08/21/2019
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