| NPI | 1023492949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIETTE MARTIN FITCH Physician Owner 225-802-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 23650) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2017-03-27 |