Individual
MARY SOUTH
Active
Individual
MARY SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35-091391
OH
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
35 091391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911640
—
IN
05
—
2859812
—
OH
05
—
5901063
—
NC
05
—
7100056360
—
KY
Enumeration date
10/25/2006
Last updated
06/11/2024
Update your record
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