| NPI | 1801135124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI RENEE GODBEY Physician 504-897-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 15035R) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |