| Organization Name: | ACADIANA FAMILY MEDICAL CENTER, A PROFESSIONAL MEDICAL CORPORATION |
| NPI Number: | 1194915348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKIE THERESA WILLIAMS (OFFICE MANAGER) |
| Mailing Address: | 810 S Broadway St Church Point |
| State: | LA US |
| Postal Code: | 705254402 |
| Phone Number: | 3376846312 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 01/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |