| NPI | 1154309318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALLEN THOMPSON Physician 225-753-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 10749R) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |