| 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 |