Organization
ERIC FONTENOT,MD, INTERNAL MEDICINE GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC PAUL FONTENOT M.D. (PHYSICIAN)
(337) 233-4980
Entity
Organization
Contact information
Practice address
1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 233-4980
(337) 232-5159
Mailing address
1219 COOLIDGE BLVD, LAFAYETTE, LA 70503-2620
(337) 233-4980
(337) 232-5159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201186
LA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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