| NPI | 1235281239 |
|---|---|
| Doing Business As | FAMILY MEDICAL CLINIC OF SWLA |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON CFO 337-494-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-12-04 |