| NPI | 1366833717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FORTENBERRY A/R Manager 601-485-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |