Banee Madison, P.A

NPI #1083017271 in Lafayette, Louisiana

Provider Information

NPI Number
1083017271
Entity Type
Individual
Name
Banee Madison, P.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
P.A
Enumeration Date
Oct 1, 2014
Last Updated
Nov 5, 2014

Practice Location

Address
4600 AMBASSADOR CAFFERY PKWY
ZIP Code
70508-6902
Phone
(337) 561-9100

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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