| 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 | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-09-13 |