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Individual

JODIE GWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6 OAK PL, NEW IBERIA, LA 70563-3087
(337) 256-8779
(337) 359-4997
Mailing address
2309 E MAIN ST, 200, NEW IBERIA, LA 70560-4046
(337) 256-8779
(337) 359-4997

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206056
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518697
LA
Enumeration date
04/14/2009
Last updated
01/16/2017
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