NPI | 1851455406 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH WOOD MCLAIN President 337-550-0067 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 024327) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |