| NPI | 1942629589 |
|---|---|
| Doing Business As | AZALEA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHARINE J. ROSE President 504-434-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 201310) |
| Additional Taxonomies | 251T00000X PACE Provider Organization (Licence: FL 201310) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-02-28 |