| NPI | 1356644066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON-HATCHER CFO 337-494-2094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD203998) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2023-12-04 |