Organization
SOUTHERN WOMEN'S HEALTH, PLLC
Active
Other names
Women's Pavilion of South Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLEY JOHNSON (ADMINISTRATOR)
(601) 450-9425
Entity
Organization
Contact information
Practice address
1242 HWY 29 NORTH, ELLISVILLE, MS 39437
(601) 719-0003
(601) 719-0009
Mailing address
6524 U S HIGHWAY 98, HATTIESBURG, MS 39402-8569
(601) 268-9393
(601) 268-9559
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05285762
—
MS
Enumeration date
10/30/2006
Last updated
12/27/2023
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