| NPI | 1457836637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA SULLIVAN-FORD Md/Owner 601-420-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |