NPI | 1558826933 |
---|---|
Doing Business As | CHARLESTON HOUSE GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | KAMILIA TAGI SMITH Physician/Practice Owner 214-477-9239 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2019-02-09 |
Last Update Date | 2019-04-09 |