ROME SHERROD II

SOUTHAVEN, MS
NPI1558587568
Doing Business AsTRI-STATE HEALTHCARE FOR WOMEN
Entity TypeOrganization
Authorized ContactERICA MONTGOMERY
Office Manager
622-342-1005
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
(Licence: MS  9374)
Enumeration Date2007-04-18
Last Update Date2008-06-18
Business Address
ROME SHERROD II
835 BRANDYWINE DR #102
SOUTHAVEN, MS 38671-2434
Phone number: 662-342-1005
Mailing Address
ROME SHERROD II
835 BRANDYWINE DRIVE #102
SOUTHAVEN, MS 38671-2424
Phone number: 662-342-1005