| NPI | 1285794370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE THOMASSEE Manager 337-232-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 14418) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-09-11 |