Organization
SOUTHERN WOMEN'S CARE OBSTETRICS & GYNECOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA MARIE MARTIN (ATTORNEY)
(270) 932-4525
Entity
Organization
Contact information
Practice address
67 KINGSWOOD DR STE A, CAMPBELLSVILLE, KY 42718-9647
(270) 932-4525
Mailing address
PO BOX 127, SUMMERSVILLE, KY 42782-0127
(270) 932-4525
(270) 932-2000
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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