| NPI | 1124201892 |
|---|---|
| Other Name | TRI-STATE HEALTHCARE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | ROME SHERROD Owner 662-349-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2013-06-10 |