| NPI | 1366239717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY WHELESS FOSTER CEO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-22 |