Organization
WOMEN'S SPECIALTY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE G. FERGUSON (PRACTICE ADMINISTRATOR)
(601) 948-6540
Entity
Organization
Contact information
Practice address
501 MARSHALL STREET, SUITE 600, JACKSON, MS 39202-1650
(601) 948-6540
(601) 326-1501
Mailing address
501 MARSHALL STREET, SUITE 600, JACKSON, MS 39202-1650
(601) 948-6540
(601) 326-1501
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014928
—
MS
01
—
CI7513
RAILROAD MEDICARE
MS
Enumeration date
05/22/2006
Last updated
10/14/2011
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