| NPI | 1720623010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA L SYLVESTER Clinical Coordinator 337-351-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-04-13 |