| NPI | 1255755385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN DESANTIS President/Owner/Physician 601-649-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 13169) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |