NPI | 1215174420 |
---|---|
Doing Business As | TIGER ISLAND MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ERIC JOSEPH MELANCON President 985-384-7288 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2009-01-09 |
Last Update Date | 2023-06-12 |