Organization
WOMANS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI FONTENOT (PRESIDENT & CEO)
(225) 924-1300
Entity
Organization
Contact information
Practice address
2306 S BURNSIDE AVE, SUITE B, GONZALES, LA 70737-4668
(225) 450-2951
(225) 450-6354
Mailing address
2306 S BURNSIDE AVE, SUITE B, GONZALES, LA 70737-4668
(225) 450-2951
(225) 450-6354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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