| NPI | 1144491580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER RAY WOLFE Owner/President 601-200-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MS 11096) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |