| NPI | 1114047735 |
|---|---|
| Doing Business As | EAST FELICIANA PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | STACIE N NWABUEZE Administrator 225-634-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA L12712R) |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA L12712R) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-07-06 |