Organization
ACADIANA RADIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN C WOJAK MD (MANAGING MEMBER)
(337) 470-2180
Entity
Organization
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2180
(337) 470-2677
Mailing address
PO BOX 4628, JACKSON, MS 39296-4628
(601) 982-7878
(601) 982-7909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796727
—
LA
Enumeration date
10/21/2008
Last updated
04/11/2019
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