Organization
PERINATAL SUPPORT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A INGRAM MD (MANAGING PARTNER)
(850) 769-0338
Entity
Organization
Contact information
Practice address
103 E 23RD ST, PANAMA CITY, FL 32405-4501
(850) 769-0338
(850) 640-2195
Mailing address
103 E 23RD ST, PANAMA CITY, FL 32405-4501
(850) 769-0338
(850) 640-2195
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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