NPI | 1134994528 |
---|---|
Doing Business As | SOUTHWEST UROLOGY CLINIC-MONTICELLO |
Entity Type | Organization |
Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |