Individual
JAMIE KING SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2900 E 29TH ST, SUITE 300, BRYAN, TX 77802-2622
(979) 776-5602
(979) 776-5265
Mailing address
2900 E 29TH ST, SUITE 300, BRYAN, TX 77802-2622
(979) 776-5602
(979) 776-5265
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP1-0033832
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
P6091
TX
Other
Enumeration date
06/18/2009
Last updated
08/12/2013
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