NPI | 1972761641 |
---|---|
Doing Business As | THE FAMILY MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | RANDALL C DUPLECHAIN President 337-462-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 16185) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2011-02-18 |