NPI | 1023003803 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM DEVIN SEALE Owner/Partner 337-527-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA 6472864 001 0) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2025-08-25 |