NPI | 1144844226 |
---|---|
Doing Business As | SOUTHSTAR URGENT CARE |
Entity Type | Organization |
Authorized Contact | KELLY PREJEAN Provider Enrollment Coordinator 337-465-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |