Organization
ACADIA DERMATOLOGY AND AESTHETIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN LANDRY (PRACTICE ADMINISTRATOR)
(985) 447-3889
Entity
Organization
Contact information
Practice address
404 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 447-3889
Mailing address
404 N ACADIA RD, THIBODAUX, LA 70301-4856
(985) 447-3889
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201271
LA
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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