Organization
MISS-LOU OB-GYN CTR,, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS O KUMI (OFFICE MANAGER)
(601) 304-0020
Entity
Organization
Contact information
Practice address
55 SGT PRENTISS DR, 100, NATCHEZ, MS 39120-4782
(601) 304-0020
(601) 304-0023
Mailing address
55 SGT PRENTISS DR, 100, NATCHEZ, MS 39120-4782
(601) 304-0020
(601) 304-0023
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
15330
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118246
—
MS
Enumeration date
05/15/2013
Last updated
05/15/2013
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