| NPI | 1871670752 |
|---|---|
| Doing Business As | PINEVILLE CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | C V REDDY President 318-487-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |