| NPI | 1194490169 |
|---|---|
| Doing Business As | GMD NURSE PRACTITIONER CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARGREK S. DORSEY Nurse Practitioner, CEO 318-625-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-01-24 |