NPI | 1922099753 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D MOORE President 276-628-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101025906) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101235032) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2020-08-22 |