Organization · Type 2 NPI

Southeast Urogynecology PA

Gynecology Physician · Jackson, MS

NPI number 1992034771 Active

Practice location

501 Marshall St, Suite 607-A
Jackson, MS 39202-1651

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed
Urology Physician 208800000XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

54 other providers at this address

Other gynecology physician providers in Jackson

See all in Jackson →

About NPI 1992034771

Southeast Urogynecology PA's National Provider Identifier is 1992034771, issued on Dec 8, 2009. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Jackson, MS. The record was last updated on Feb 18, 2010.