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Organization

MICHAEL BENOIT, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JOHN BENOIT M.D. (DIRECTOR)
(337) 824-1111
Entity
Organization

Contact information

Practice address
1322 ELTON RD, SUITE D, JENNINGS, LA 70546-4138
(337) 824-1111
(337) 824-1122
Mailing address
1322 ELTON RD, SUITE D, JENNINGS, LA 70546-4138
(337) 824-1111
(337) 824-1122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1422827
LA
01
4346557140A
BLUE CROSS BLUE SHIELD
Enumeration date
06/01/2006
Last updated
09/11/2025
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