| NPI | 1497984801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELL H CHARLES Office Manager 337-235-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD012304) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |