Individual
JAMES BRANDON FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
(337) 363-4499
(337) 363-4990
Mailing address
421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
(337) 363-4499
(337) 363-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025984
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1049484
—
LA
Enumeration date
06/08/2006
Last updated
01/11/2010
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