| NPI | 1962174342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L TALBERT Credentialing Manager 337-794-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |