NPI | 1790057735 |
---|---|
Doing Business As | A WK CLINIC FOR WOMEN - SOUTH |
Entity Type | Organization |
Authorized Contact | GREG J GAVIN Network Administrator 318-212-4232 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2012-02-07 |
Last Update Date | 2012-02-07 |