# ERIC J MELANCON M D LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERIC J MELANCON MD LLC
- **Other names:** Tiger Island Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215174420
- **Legal business name:** ERIC J MELANCON MD LLC
- **Authorized official:** ERIC JOSEPH MELANCON MD (PRESIDENT)
- **Authorized official phone:** (985) 384-7288

## Contact information

- **Practice address:** 1151 MARGUERITE ST, SUITE 200A, MORGAN CITY, LA 70380-1850
- **Practice address phone:** (985) 384-7288
- **Practice address fax:** (985) 384-7291
- **Mailing address:** 1151 MARGUERITE ST, SUITE 200A, MORGAN CITY, LA 70380-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 06/12/2023