Desoto Womens Care Center, PLLC
Obstetrics & Gynecology in Southaven, MS. Organization (NPI-2).
NPI number1669909651
StatusActive
Last updated in NPPESNov 27, 2017
Details
- NPI
- 1669909651
- Entity type
- Organization (NPI-2)
- Legal business name
- Desoto Womens Care Center, PLLC
- Organization subpart
- No
- Enumeration date
- May 22, 2017
- Last updated
- Nov 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 21158 | MS | Yes |
Practice location
7600 Airways Blvd Ste ASouthaven, MS 38671-5138
Phone 662-349-1000 · Fax 662-233-1180
Mailing address
Po Box 89Hernando, MS 38632-0089
Phone 916-501-7222 · Fax 662-233-1180
Authorized official
Gregory Pearce Norwood
Owner
9165017222
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