Southcrest Women Healthcare
Obstetrics & Gynecology, Gynecology in Southaven, MS. Organization (NPI-2).
NPI number1730213596
StatusActive
Last updated in NPPESSep 1, 2010
Details
- NPI
- 1730213596
- Entity type
- Organization (NPI-2)
- Legal business name
- Southcrest Women Healthcare
- Organization subpart
- No
- Enumeration date
- Mar 15, 2007
- Last updated
- Sep 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
Practice location
401south Crest CircleSuite 101
Southaven, MS 38671
Phone 662-349-4322
Mailing address
401south Crest CircleSuite 101
Southaven, MS 38671
Phone 662-349-4322
Authorized official
Dabney J Hamner
Owner
6623494322
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