| NPI | 1386806040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W DIGGS Clinic Doctor 225-338-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA MD06213R) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |