| NPI | 1023822293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR STEVENS Manager 337-447-4027 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |