Organization
MEDICINE CLINIC OF ACADIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE RABENALDT (CREDENTIALING COORDINATOR)
(337) 608-8988
Entity
Organization
Contact information
Practice address
401 YOUNGSVILLE HWY STE 200C, LAFAYETTE, LA 70508-5173
(337) 330-8523
(337) 354-2336
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 608-8988
(337) 417-9909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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