NPI | 1164700118 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY M CHEATHAM Director 225-635-3811 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-07-25 |
Last Update Date | 2011-07-25 |