| NPI | 1942015532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY SMITH Director, Rcm 855-224-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208800000X Urology |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-10-20 |