| NPI | 1255865036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CAMILLE MONTGOMERY Office Manager 501-992-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR C7952) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |