Organization
THE WOMANS CLINIC OF MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE L FANT (ADMINISTRATOR)
(601) 354-0869
Entity
Organization
Contact information
Practice address
501 MARSHALL ST, SUITE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Mailing address
501 MARSHALL ST, SUITE 400, JACKSON, MS 39202-1687
(601) 354-0869
(601) 352-6521
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
11/19/2011
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