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Organization

GASTROENTEROLOGY CLINIC OF ACADIANA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN G ABSHIRE MD (CEO)
(337) 232-6697
Entity
Organization

Contact information

Practice address
1211 COOLIDGE BLVD, SUITE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 232-3147
Mailing address
1211 COOLIDGE BLVD, SUITE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 232-3147

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1443085
LA
01
826013977
RR MEDICARE
Enumeration date
11/17/2006
Last updated
10/21/2009
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