| NPI | 1124149307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARLAND DUPREE MILLER President 318-645-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 16359) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |