| NPI | 1114356979 |
|---|---|
| Doing Business As | PRIMARY CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | KENDALL JOHNSON C.F.O. 225-237-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-12-26 |