| NPI | 1417205469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS HICKINGBOTTOM CEO 337-433-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2013-04-15 |