| NPI | 1477603074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIT J GREMILLION President/Owner 228-388-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 17239) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 023984) |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-12-05 |