NPI | 1346510559 |
---|---|
Doing Business As | ST DOMINIC'S GYNECOLOGIC ONCOLOGY |
Entity Type | Organization |
Authorized Contact | DANIELLE STUART Credentialing Specialist 601-200-4880 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
Enumeration Date | 2012-01-04 |
Last Update Date | 2021-03-16 |