| 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 |