NPI | 1083607782 |
---|---|
Doing Business As | THE FAMILYMD MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | CELESTE ECKERT DAVIS Office Manager 985-359-3763 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 025236) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2007-09-28 |