| NPI | 1366411944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P BURKART Administrator 228-863-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 450000024) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |