Jeanne D. Theriot MD Apmllc
NPI #1174581342 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1174581342
- Entity Type
- Organization
- Organization Name
- Jeanne D. Theriot MD Apmllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 3, 2006
- Last Updated
- Mar 10, 2008
Practice Location
- Address
- 112 CHAMPAGNE BLVD
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-3852
- Phone
- (337) 332-2242
Authorized Official
- Name
- JEANNE DAUPHINE THERIOT, M.D.
- Title
- OWNER/DIRECTOR
- Phone
- (337) 332-2242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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