| NPI | 1205106820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST GENE THOMPSON President/Secretary/Treasurer 225-774-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 014216) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |