SOUTHERN WOMEN'S HEALTH PLLC NPI 1174744379

NPI Information

SOUTHERN WOMEN'S HEALTH, PLLC is an obstetrics obstetrics gynecology in Jackson, MS. SOUTHERN WOMEN'S HEALTH, PLLC NPI is 1174744379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 RIVER OAKS DR
SUITE 310
JACKSON, MS
ZIP 39232-512
Phone: (601) 932-5006
Fax: (601) 932-4548

The provider's authorized official is Dawn Adams .
The authorized official title is Administrator and has the following contact phone number (601) 932-5006.

The CLIA number assigned to this NPI record is 25D0700414 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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