Organization Name: | GENESIS WOMEN'S CLINIC, P.A. |
NPI Number: | 1558613307 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LETITCIA A. JONES (OWNER) |
Mailing Address: | 9600 Baptist Health Dr Suite 250 Little Rock |
State: | AR US |
Postal Code: | 722056326 |
Phone Number: | 5012211781 |
Fax Number: | 5012253323 |
NPI Enumeration Date: | 10/03/2012 |
NPI Last Update Date: | 01/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | E-6597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |