| NPI | 1518202902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MILNER Director Of Finance 337-721-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD019378) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |