Organization
HICKS HEALTHCARE CENTER FOR WOMEN
Active
Parent organization
MADISON HMA PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON HMA PHYSICIAN SERVICES, LLC
Authorized official
MR. MICHAEL L GINGRAS (VICE PRESIDENT)
(239) 598-3131
Entity
Organization
Contact information
Practice address
1883 HIGHWAY 43 S, SUITE F, CANTON, MS 39046-8405
(601) 859-5455
(601) 859-5459
Mailing address
5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL 34108-2733
(239) 598-3131
(239) 592-0438
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
11/27/2012
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