| NPI | 1609292705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FERGUSON Adminstrator 601-948-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |