| NPI | 1023606506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT G GEORGE Physician/Member 504-919-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |