# BRYANT MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184112450
- **Authorized official:** MISS LORRIE AUCOIN (OFFICE CLERK)
- **Authorized official phone:** (337) 367-2567

## Contact information

- **Practice address:** 800 W MAIN ST, NEW IBERIA, LA 70560-3536
- **Practice address phone:** (337) 367-2567
- **Practice address fax:** (337) 367-2578
- **Mailing address:** 800 W MAIN ST, NEW IBERIA, LA 70560-3536
- **Mailing address phone:** (337) 367-2567
- **Mailing address fax:** (337) 367-2578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2018
- **Last updated:** 04/23/2018