| NPI | 1154779445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD Sr VP Of Administrative Services 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-07-31 |