| NPI | 1154083376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKA MARLAINE KING Physician/President Of Corp 337-654-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2022-01-12 |