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NPI Code Detail

MEDICARE: MELVIN G BOURGEOIS MD

MEDICARE: MELVIN G BOURGEOIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician09057LA
22083X0100XOccupational Medicine Physician09057LA

General Provider Information

NPI Number : 1154321297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN G BOURGEOIS MD
Provider Business Mailing Address
First Line : 1201 KENNETH ST
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-1353
Country : US
Telephone Number : 985-384-3355
Fax Number : 985-384-2884
Provider Business Practice Location Address
First Line : 1201 KENNETH ST
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-1353
Country : US
Telephone Number : 985-384-3355
Fax Number : 985-384-2884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 09/11/2025

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Directions to “ MELVIN G BOURGEOIS MD” Practice Location

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