Organization
OVATION WOMENS WELLNESS LLC
Active
Other names
Ovation Womens Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA ANN FORD (ADMINISTRATIVE AND HR MANAGER)
(601) 714-1031
Entity
Organization
Contact information
Practice address
111 COLONY CROSSING WAY STE 230, MADISON, MS 39110-6833
(601) 326-6401
(601) 326-6405
Mailing address
PO BOX 3488, TUPELO, MS 38803-3488
(601) 326-6401
(601) 326-6405
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573730
—
MS
Enumeration date
03/31/2014
Last updated
08/27/2020
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