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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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