| NPI | 1134306871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R. SMITHBURG CEO 337-475-8429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207W00000X Ophthalmology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-09-26 |