NPI | 1881800761 |
---|---|
Entity Type | Organization |
Authorized Contact | BENSON A. GRIGSBY President 318-254-2892 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 018222) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2023-03-07 |