Pediatric Group of Acadiana LLC
NPI #1619471463 in Church Point, Louisiana
Provider Information
- NPI Number
- 1619471463
- Entity Type
- Organization
- Organization Name
- Pediatric Group of Acadiana LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 19, 2018
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 1048 EAST EBEY STREET
- City
- Church Point
- State
- Louisiana
- ZIP Code
- 70525-7052
- Phone
- (337) 684-3000
Authorized Official
- Name
- ANTOINETTE RABENALDT
- Title
- CREDENTIALING COORDINATOR
- Phone
- (337) 330-2576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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