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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN SULIE THIBODEAUX, MD

Active

JOHN SULIE THIBODEAUX, MD is a Family Medicine healthcare provider located in ERATH, Louisiana. NPI 1144243007 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ERATH, LA

Registration Details

NPI Number
1144243007
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2006 (19.872919466105 yrs)
Last Updated
May 7, 2021
License
13009 (LA)

Practice Information

Address
402 E EDWARD ST
ERATH, LA, 705334114
Browse LA providers · Browse ZIP 70533
Phone
3374703250
Fax
3379375806
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.