# JENNINGS INTERNAL MEDICINE ASSOCIATES INC.

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

## Provider details

- **NPI number:** 1265526446
- **Authorized official:** BRIAN C WILDER MD (PRESIDENT)
- **Authorized official phone:** (337) 824-9119

## Contact information

- **Practice address:** 1902 JOHNSON ST, JENNINGS, LA 70546
- **Practice address phone:** (337) 824-9119
- **Practice address fax:** (337) 824-7005
- **Mailing address:** 1902 JOHNSON ST, JENNINGS, LA 70546
- **Mailing address phone:** (337) 824-9119
- **Mailing address fax:** (337) 824-7005

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/28/2011