| NPI | 1598463572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COREY SMITH Managing Member/Authorized Official 870-232-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-09-27 |