NPI | 1245305713 |
---|---|
Professional Name | BEVERLY FORTNER WOMACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01844) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 046915) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2012-06-21 |