| NPI | 1609412097 |
|---|---|
| Doing Business As | SOUTHSTAR URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | RENEE BERARD VP Of Organizational Effectiveness 337-223-3368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |