| NPI | 1730389867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M GILMORE President 251-461-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AL 12943) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-08-20 |