NPI 1174053292 · live from the CMS NPI Registry
Mary Fontenot Anderson, MD
Family Medicine in Covington, LA. National Provider Identifier 1174053292, active.
NPI record
| NPI | 1174053292 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 100 Christwood Blvd, Covington, LA 70433 |
| Practice phone | 985-256-5690 |
| Enumerated | June 13, 2017 |
| Last updated | November 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 309400 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.