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Individual

DR. ERIC JOHN GRAVOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3928 HIGHWAY 70 S, PIERRE PART, LA 70339-4460
(985) 252-1111
(985) 252-1400
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 447-5500
(985) 449-2535

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16251
FL
207Q00000X
Family Medicine Physician
Primary
MD206882
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2368838
LA
Enumeration date
06/06/2011
Last updated
10/24/2025
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