| NPI | 1730269242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W HORN Stockholder 228-872-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 15343) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-12-15 |