| NPI | 1891703849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WHITE GROSS Owner 256-233-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 5678) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |