| NPI | 1780095885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE QUINLAN PISCIOTTA Owner 228-547-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MS 16374) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |