| NPI | 1649386061 |
|---|---|
| Doing Business As | SOUTHWEST UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLA ROWLEY CEO 601-249-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-07-14 |