| NPI | 1174154421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE RENEE HERRING Practice Adminstrator 229-502-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-09-20 |