| NPI | 1417914383 |
|---|---|
| Doing Business As | MID-SOUTH WOMEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMARA BANKS Billing Coordinator 870-735-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-02-17 |