| NPI | 1942579727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTA A CONNELLY Owner 931-528-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 29602) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |