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 |