| NPI | 1396059093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL S HINES Owner 601-936-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MS 12123) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |