The Womans Clinic of Ms Pllc
NPI #1003843210 in Jackson, Mississippi
Provider Information
- NPI Number
- 1003843210
- Entity Type
- Organization
- Organization Name
- The Womans Clinic of Ms Pllc
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jun 26, 2006
- Last Updated
- Nov 19, 2011
Practice Location
- Address
- 501 MARSHALL ST
- Address 2
- SUITE 400
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-1687
- Phone
- (601) 354-0869
Authorized Official
- Name
- VICKIE L FANT
- Title
- ADMINISTRATOR
- Phone
- (601) 354-0869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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