| NPI | 1336824978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE COLLIER Owner 601-255-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-07-17 |