| NPI | 1639234495 |
|---|---|
| Doing Business As | SOUTHSTAR URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KELLY PREJEAN Provider Enrollment Specialist 337-202-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-11-12 |