NPI | 1508850413 |
---|---|
Former Legal Business Name | GWEN MCINNIS ADMINISTRATOR |
Entity Type | Organization |
Authorized Contact | GWENDOLYN MORVANT MCINNIS Administrator 504-349-6017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2005-09-07 |
Last Update Date | 2020-08-22 |