NPI | 1407015365 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY JACKSON DAVIS President 478-960-7747 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
207VX0000X Obstetrics & Gynecology Obstetrics | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2022-09-13 |