Organization
CORNERSTONE WOMEN'S CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G RYAN JR. M.D. (OWNER)
(662) 890-5559
Entity
Organization
Contact information
Practice address
6831 CRUMPLER BLVD, SUITE 100, OLIVE BRANCH, MS 38654-1927
(662) 890-5559
(662) 893-8323
Mailing address
PO BOX 1159, OLIVE BRANCH, MS 38654-0940
(662) 890-5559
(662) 893-8323
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16676
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121942
—
MS
Enumeration date
02/26/2007
Last updated
08/22/2020
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