| NPI | 1093970915 |
|---|---|
| Doing Business As | SOUTHPARK HOSPITAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PROMOD SETH CEO 337-769-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-11-14 |