| NPI | 1447433420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LOUISE FERGUSON Owner 772-299-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME37491) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-07-08 |