| NPI | 1649524257 |
|---|---|
| Doing Business As | CARLOCK FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | VICTOR VANCE CARLOCK Provider / Owner 337-238-5180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2018-04-16 |