| NPI | 1770872418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ANTHONY BARKSDALE CEO 225-928-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 09178R) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |