Individual
JODY M. PLAISANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SOUTH ACADIA ROAD, THIBODAUX, LA 70301
(985) 446-2680
(985) 447-2528
Mailing address
804 SOUTH ACADIA ROAD, THIBODAUX, LA 70301
(985) 446-2680
(985) 447-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022408
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655961
—
LA
Enumeration date
08/23/2005
Last updated
06/29/2010
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