| 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 |