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NPI Verification

National Provider Identifier: 1992034771

Southeast Urogynecology PA

Organization

Primary Specialty

Obstetrics & Gynecology, Gynecology

Code: 207VG0400X

All Specialties (2)

Urology

Code: 208800000X

Obstetrics & Gynecology, Gynecology

Code: 207VG0400X

Primary

Practice Address

501 MARSHALL ST

SUITE 607-A

JACKSON, MS 392021651

Phone: 601-948-6540

NPI Enumeration Date

December 8, 2009

NPI Number

1992034771

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Southeast Urogynecology PA - NPI 1992034771 | Provider Verification | HormoneMap