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 |