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Organization

SOUTHCREST WOMEN HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DABNEY J HAMNER JR. M.D. (OWNER)
(662) 349-4322
Entity
Organization

Contact information

Practice address
401SOUTH CREST CIRCLE, SUITE 101, SOUTHAVEN, MS 38671
(662) 349-4322
Mailing address
401SOUTH CREST CIRCLE, SUITE 101, SOUTHAVEN, MS 38671
(662) 349-4322

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115267
MS
Enumeration date
03/15/2007
Last updated
09/01/2010
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