| NPI | 1821795337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L GRIMES President 225-924-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-05-30 |