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Organization

GYNECOLOGIC AND OBSTETRIC SERVICES, PA

Active
Other names
HEALTHY START
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE SLOCUM M.D. (PRESIDENT)
(662) 680-3855
Entity
Organization

Contact information

Practice address
602 BRUNSON DR, TUPELO, MS 38801-4947
(662) 680-3855
(662) 680-3372
Mailing address
602 BRUNSON DR, TUPELO, MS 38801-4947
(662) 680-3855
(662) 680-3372

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09323770
MS
Enumeration date
08/31/2006
Last updated
08/18/2011
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