Individual
MRS. BRITNEY FOXWORTH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-2976
(337) 506-3500
Mailing address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200165
LA
363AM0700X
Medical Physician Assistant
PA.200165
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026671
—
LA
Enumeration date
12/12/2007
Last updated
12/30/2020
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