# ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1194915348
- **Authorized official:** JACKIE THERESA WILLIAMS (OFFICE MANAGER)
- **Authorized official phone:** (337) 684-6312

## Contact information

- **Practice address:** 810 S BROADWAY ST, CHURCH POINT, LA 70525-4402
- **Practice address phone:** (337) 684-6312
- **Mailing address:** 261 ADOLPH LN, BRANCH, LA 70516-3601
- **Mailing address phone:** (337) 684-6312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 01/15/2010