| NPI | 1790091304 |
|---|---|
| Doing Business As | OB/GYN NURSE PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A REPPERT CFO 662-377-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |