| NPI | 1750566873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE S ALLBRIGHT Cpc 576-616-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 157466) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-03-07 |