| NPI | 1063618171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L GALLOWAY Manager 601-376-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MS 16585) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |