| NPI | 1851573737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HAMILTON Office Manager 662-534-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2025-11-14 |