Organization
PEDIATRIC GROUP OF ACADIANA, LLC
Active
Other names
Pediatric Group of Acadiana
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC MOYER (BUSINESS MANAGER)
(337) 330-8336
Entity
Organization
Contact information
Practice address
555 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 332-3971
Mailing address
401 YOUNGSVILLE HWY STE 100, LAFAYETTE, LA 70508-5173
(337) 256-5111
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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