| NPI | 1972012615 |
|---|---|
| Doing Business As | PHS GYN GROUP |
| Entity Type | Organization |
| Authorized Contact | BEAU HIGGINBOTHAN Vice President/COO 410-368-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC HFD01-0212) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-10-11 |