| NPI | 1942015532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY SMITH Director, Rcm 855-224-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208800000X Urology | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |