| NPI | 1124967690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY W REDFOOT Director 251-435-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-27 |