| NPI | 1366434631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R GUILLORY President 337-236-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 016627) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |