| 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 |