| NPI | 1407916471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR DUNWODY JACKSON Owner 229-225-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 046464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 030793) |
| 367A00000X Advanced Practice Midwife (Licence: GA RN159084) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-09-11 |