Organization
GADDIS MEDICAL & AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD GADDIS M.D. (CEO)
(337) 238-9899
Entity
Organization
Contact information
Practice address
800 S 3RD ST, LEESVILLE, LA 71446-4750
(337) 238-9899
(337) 239-2060
Mailing address
800 S 3RD ST, LEESVILLE, LA 71446-4750
(337) 238-9899
(337) 239-2060
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD.200147
LA
Other
Enumeration date
08/27/2007
Last updated
04/15/2011
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