| NPI | 1831113448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE BUCHANAN Office Manager 662-286-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 19033) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |