SOUTHEAST UROGYN LLC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Jackson, MS. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. SOUTHEAST UROGYN LLC NPI is 1548513617. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
501 MARSHALL ST
SUITE 600
JACKSON, MS
ZIP 39202-651
Phone: (601) 948-6540
Fax: (601) 326-1501
The provider's authorized official is Julie Ferguson .
The authorized official title is Administrator and has the following contact phone number (601) 948-6540.
The CLIA number assigned to this NPI record is 25D2106956 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/26/2012 and was last updated on 1/20/2016.