Organization
ACADIANA WOUND CLINIC LLC
Active
Organization
ACADIANA WOUND CLINIC LLC
Active
Other names
acadiana wound & specialty services llc
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE A GORDON RN WCC (OWNER)
(337) 873-8898
Entity
Organization
Contact information
Practice address
850 N PIERCE ST, SUITE C, LAFAYETTE, LA 70501-2848
(337) 873-8898
Mailing address
850 N PIERCE ST, LAFAYETTE, LA 70501-2848
(337) 873-8898
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
LA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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