NPI | 1093846719 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES JEFFERY BLOUNT Owner 601-798-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 15547) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2011-09-28 |