NPI | 1598885832 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI R VIDRINE Revenue Cycle Manager 337-457-8052 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2007-03-30 |
Last Update Date | 2021-12-30 |