| NPI | 1194915348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE THERESA WILLIAMS Office Manager 337-684-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-01-15 |