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Organization
ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE THERESA WILLIAMS (OFFICE MANAGER)
(337) 684-6312
Entity
Organization
Contact information
Practice address
810 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-6312
Mailing address
261 ADOLPH LN, BRANCH, LA 70516-3601
(337) 684-6312
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
01/15/2010
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