| NPI | 1912130147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNING K SANDERS President 985-223-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 22360) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2016-10-18 |