Provider Demographics
NPI:1104029305
Name:ATCHAFALAYA OBSTETRICS & GYNECOLOGY
Entity Type:Organization
Organization Name:ATCHAFALAYA OBSTETRICS & GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIANS
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:U
Authorized Official - Last Name:DREWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-702-1100
Mailing Address - Street 1:1151 MARGUERITE ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1850
Mailing Address - Country:US
Mailing Address - Phone:985-702-1100
Mailing Address - Fax:
Practice Address - Street 1:1151 MARGUERITE ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1850
Practice Address - Country:US
Practice Address - Phone:985-702-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty