Madison Ob/gyn Associates LLC
NPI #1699068775 in Madison, Mississippi
Provider Information
- NPI Number
- 1699068775
- Entity Type
- Organization
- Organization Name
- Madison Ob/gyn Associates LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- May 23, 2011
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 115 FOUNTAINS BLVD
- Address 2
- SUITE A
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6344
- Phone
- (601) 853-0100
Authorized Official
- Name
- DR. LESLIE F MASON, MD
- Title
- PARTNER
- Phone
- (601) 853-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Obstetrics & Gynecology |
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