NPI 1003288614

Abundant Health Medical Clinic, LLC

Organisation Medical Specialty Clinic/Center Thibodaux, LA

Practice location

Address: 1001 Jackson St, Thibodaux, LA 70301-3227
Phone: (985) 492-9111
Fax: (985) 492-9114
Mailing address: PO Box 5011, Thibodaux, LA 70302-5011

Authorised official

Name: Adrienne Chanelle Robertson
Title: Medical Director
Phone: (334) 294-2758

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1003288614
Entity type: Organization
NPI issued: 22 Oct 2015
Record last updated: 22 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.