| NPI | 1538244884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TORRELL HUMPHRIES Owner/Doctor 337-263-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 024656) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-11-01 |