Individual
MARY FONTENOT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CHRISTWOOD BLVD, COVINGTON, LA 70433-4606
(985) 256-5690
Mailing address
100 CHRISTWOOD BLVD, COVINGTON, LA 70433-4606
(985) 256-5690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309400
LA
Other
Enumeration date
06/13/2017
Last updated
11/12/2020
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