NPI | 1609683937 |
---|---|
Other Name | CARESOUTH DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MATTHEW VALLIERE CEO 225-650-2026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-12-11 |
Last Update Date | 2024-12-11 |