| NPI | 1346799251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA L DICKSON Physician 225-772-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A14162) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |