| NPI | 1053356196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON YOUNG Medical Doctor 337-504-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.013294) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-03-29 |