| NPI | 1528135241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C LIVINGSTON Officer 601-968-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 15122) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |