NPI | 1174755359 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE J WILLIAMS Owner/CEO 601-968-1690 |
Organization Subpart ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
Enumeration Date | 2009-08-20 |
Last Update Date | 2020-01-17 |