Individual
DR. ADRIANNE NETTERVILLE EDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16260 AIRLINE HWY, SUITE F, PRAIRIEVILLE, LA 70769-4272
(800) 600-7551
Mailing address
16260 AIRLINE HWY, SUITE F, PRAIRIEVILLE, LA 70769-4272
(225) 402-4215
(225) 402-4279
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
206182
LA
Other
Enumeration date
06/04/2010
Last updated
12/12/2016
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