| NPI | 1821006255 |
|---|---|
| Other Name | RESIDENT OBGYN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-10-18 |