| NPI | 1205408630 |
|---|---|
| Doing Business As | THE GALLERY |
| Entity Type | Organization |
| Authorized Contact | KERRI ELIZABETH DAVIS-FONTENOT Owner 337-564-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |