# SOUTHERN FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1538704010
- **Authorized official:** ANGELA GOINS C-FNP (OWNER)
- **Authorized official phone:** (337) 543-7800

## Contact information

- **Practice address:** 10818 HWY. 190, OPELOUSAS, LA 70570
- **Practice address phone:** (337) 543-7800
- **Practice address fax:** (337) 543-7900
- **Mailing address:** 10818 HWY. 190, OPELOUSAS, LA 70570
- **Mailing address phone:** (337) 543-7800
- **Mailing address fax:** (337) 543-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/08/2019
- **Last updated:** 08/18/2022