| NPI | 1154956134 |
|---|---|
| Doing Business As | METRO JACKSON OBGYN |
| Entity Type | Organization |
| Authorized Contact | DEBRA AMY MARTIN Office Manager 769-233-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-11-23 |