Dr. Erica R Balthrop, MD
Obstetrics & Gynecology in Southaven, MS. Individual provider (NPI-1).
NPI number1366438772
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1366438772
- Entity type
- Individual (NPI-1)
- Name
- Dr. Erica R Balthrop
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2005
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 16812 | MS | Yes |
Practice location
401 Southcrest Cir Ste 104Southaven, MS 38671-6712
Phone 662-349-1112
Mailing address
Po Box 405827Atlanta, GA 30384-5827
Phone 901-226-3186 · Fax 901-226-3160
Other practice locations
2000 N State St
Clarksdale, MS 38614-6100
Clarksdale, MS 38614-6100
Phone 662-627-7361 · Fax 662-627-1158
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