| NPI | 1477792844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY L EDMONDS President 225-810-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: LA A10599) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |