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Eric Fontenot Md Internal Medicine Group L.l.c.
Specialist in Mamou, Louisiana
NPI 1821135088

Eric Fontenot Md Internal Medicine Group L.l.c. is a Specialist based in Mamou, LA. Eric Fontenot Md Internal Medicine Group L.l.c. practices in Mamou, LA. The NPI Number for Eric Fontenot Md Internal Medicine Group L.l.c. is 1821135088 and holds a License No. 201186 (Louisiana).

The current practice location address for Eric Fontenot Md Internal Medicine Group L.l.c. is 1415 7Th St, Mamou, LA and can be reached out via phone at 337-468-2822 and via fax at 337-468-2845.

Location: 1415 7Th St, Mamou, LA, 70554-2269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821135088
Provider Name
Eric Fontenot Md Internal Medicine Group L.l.c.
Credential
Provider Entity Type
Organization
Address
1415 7Th St, Mamou, LA, 70554-2269
Phone Number
337-468-2822
Fax Number
337-468-2845
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4337168900 01 LA BCBS
1066117 05 LA
institution
Provider Business Practice Location Address Details
Address
1415 7Th St
City
Mamou
State
Louisiana
Zip
70554-2269
Phone Number
337-468-2822
Fax Number
337-468-2845
person
Provider Business Mailing Address Details
Address
1415 7Th St
City
Mamou
State
Louisiana
Zip
70554-2269
Phone Number
337-468-2822
Fax Number
337-468-2845
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
201186 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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