| NPI | 1790226611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CHRISTINE ABRAHAM Administrator 337-235-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: LA MD.024082) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-09-01 |