| NPI | 1447430301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY N. PONDER Owner/Medical Director 337-560-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2023-03-07 |