| NPI | 1265803985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD CEO 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |