Organization
LOUISIANA BRAIN & SPINE CLINIC, II,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY V FONTENOT (MANAGER)
(985) 447-2645
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 410, THIBODAUX, LA 70301-4847
(985) 447-2645
(985) 447-2604
Mailing address
604 N ACADIA RD, SUITE 410, THIBODAUX, LA 70301-4847
(985) 447-2645
(985) 447-2604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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