| NPI | 1023087749 |
|---|---|
| Other Name | FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL H MONTGOMERY President 337-942-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |