# ERIC FONTENOT,MD, INTERNAL MEDICINE GROUP,LLC

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

## Provider details

- **NPI number:** 1982032280
- **Authorized official:** DR. ERIC PAUL FONTENOT M.D. (PHYSICIAN)
- **Authorized official phone:** (337) 233-4980

## Contact information

- **Practice address:** 1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
- **Practice address phone:** (337) 233-4980
- **Practice address fax:** (337) 232-5159
- **Mailing address:** 1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
- **Mailing address phone:** (337) 233-4980
- **Mailing address fax:** (337) 232-5159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 201186 | LA | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 10/23/2013