Organization Name: | THE HULL CLINIC OF GYNECOLOGY |
NPI Number: | 1134301856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA DARLENE KLAUDER (OFFICE MANAGER) |
Mailing Address: | 1044 N Flowood Dr Flowood |
State: | MS US |
Postal Code: | 392329789 |
Phone Number: | 6019324950 |
Fax Number: | 6019322172 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 04683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |