NPI | 1427236660 |
---|---|
Doing Business As | GOODWOOD PRIMARY CARE CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | JONATHAN ROBERTS CEO 225-952-9460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2008-02-08 |
Last Update Date | 2008-09-18 |