Individual
ANITA DEBORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 N STATE ST, ABBEVILLE, LA 70510-2825
(337) 422-6240
(337) 392-6206
Mailing address
1305 N STATE ST, ABBEVILLE, LA 70510-2825
(337) 422-6240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204625
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2008
Last updated
12/21/2021
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