| NPI | 1104281476 |
|---|---|
| Doing Business As | WHITE CLOVER WELLNESS & RESEARCH CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMARA M SMITH CFO 318-455-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 022377) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |