| 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 |