NPI | 1780099853 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY BRILEY WALKER Member 337-788-3032 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 200609) |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2022-05-16 |