Healthcare Provider Details

I. General information

NPI: 1528252681
Provider Name (Legal Business Name): FRANKIE GUILLOT RHOLDON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 RUE FONTAINE BLDG 1
LAFAYETTE LA
70508-5788
US

IV. Provider business mailing address

101 RUE FONTAINE BLDG 1
LAFAYETTE LA
70508-5788
US

V. Phone/Fax

Practice location:
  • Phone: 337-524-1700
  • Fax: 337-524-1702
Mailing address:
  • Phone: 337-524-1700
  • Fax: 337-524-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberPGY.2.LSUN-DERM
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: