| NPI | 1639530116 |
|---|---|
| Doing Business As | MARY SOUTH, MD |
| Entity Type | Organization |
| Authorized Contact | MARY M SOUTH Owner 234-205-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: 35091391) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: 35091391) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2020-09-11 |