NPI | 1801147434 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA WILLIAMS CEO 337-616-7030 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207R00000X Internal Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
282NR1301X General Acute Care Hospital, Rural | |
Enumeration Date | 2012-09-22 |
Last Update Date | 2020-05-04 |