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Organization

BREAUX BRIDGE MM LLC

Active
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Organization

BREAUX BRIDGE MM LLC

Active
Parent organization
1750638391
Other names
MINUTE MED CLINIC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
1750638391
Authorized official
MS. ASHLEY HILL (BILLING MANAGER)
(337) 781-1630
Entity
Organization

Contact information

Practice address
1451 E BRIDGE STREET, BREAUX BRIDGE, LA 70517
(337) 456-6851
(337) 504-4798
Mailing address
2851 JOHNSTON ST, PMB 299, LAFAYETTE, LA 70503-3243
(337) 456-6851
(337) 504-4798

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1490725
LA
Enumeration date
08/28/2016
Last updated
08/28/2016
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