| NPI | 1952952061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE PRIDGEN Credentialing Specialist 337-330-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-01-16 |