| NPI | 1417063637 |
|---|---|
| Doing Business As | MOBILE OB-GYN PC |
| Entity Type | Organization |
| Authorized Contact | NICOL FORTNER Credentialing 251-633-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-08-15 |