| NPI | 1528498532 |
|---|---|
| Doing Business As | ELLISVILLE OB/GYN CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONICA MORROW Director Clinic Support 601-399-6167 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2015-05-08 |