| NPI | 1134895212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C PRESSWOOD CFO 386-615-4237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2022-04-06 |