| NPI | 1396161493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FERGUSON Administrator 601-948-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |