Organization
ANNA FONTENOT MEDICAL CENTER LLC
Active
Other names
Magnolia Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA THEVENOT FONTENOT (CEO)
(337) 363-5531
Entity
Organization
Contact information
Practice address
724 W MAGNOLIA ST, VILLE PLATTE, LA 70586-4320
(337) 506-2294
Mailing address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/08/2021
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