| NPI | 1255540506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA A SINGLETON-BEN Owner Physician 337-407-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 022773) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: LA 022773) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-04-18 |