| NPI | 1396795571 |
|---|---|
| Former Legal Business Name | TOWER PAVILION PLLC |
| Doing Business As | WOMEN'S PAVILION OF SOUTH MISSISSIPPI |
| Entity Type | Organization |
| Authorized Contact | HOLLEY JOHNSON Administrator 601-450-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-12-27 |