| NPI | 1417291451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FERGUSON Practice Administrator 601-948-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-03-10 |