Organization
ERIC J MELANCON M D LLC
Active
Parent organization
ERIC J MELANCON MD LLC
Other names
Tiger Island Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC J MELANCON MD LLC
Authorized official
ERIC JOSEPH MELANCON MD (PRESIDENT)
(985) 384-7288
Entity
Organization
Contact information
Practice address
1151 MARGUERITE ST, SUITE 200A, MORGAN CITY, LA 70380-1850
(985) 384-7288
(985) 384-7291
Mailing address
1151 MARGUERITE ST, SUITE 200A, MORGAN CITY, LA 70380-1850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215174420
—
LA
Enumeration date
01/09/2009
Last updated
06/12/2023
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