| NPI | 1629105416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KAYE HEDGEMON Owner 225-925-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 06831R) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN032514) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |