| NPI | 1497895130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE WILSON CEO 337-470-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-10-20 |