Individual
DR. GREGORY JAMES FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 MILTON RD, MAURICE, LA 70555-4448
(337) 898-9449
(337) 898-9556
Mailing address
207 MILTON RD, MAURICE, LA 70555-4448
(337) 898-9449
(337) 898-9556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.208146
LA
Other
Enumeration date
04/23/2014
Last updated
05/03/2018
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