NPI 1255755385

Laurel Obstetrics and Gynecology PA

Organisation Obstetrics & Gynecology Physician Laurel, MS

Practice location

Address: 1104 W 1st St Suite 2, Laurel, MS 39440-4357
Phone: (601) 649-9904
Fax: (601) 649-9944
Mailing address: PO Box 2998, Laurel, MS 39442-2998

Authorised official

Name: Robert Alan Desantis
Title: President/Owner/Physician
Phone: (601) 649-9904

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 13169 (MS)

Other Obstetrics & Gynecology providers in Mississippi →

Registry record

NPI: 1255755385
Entity type: Organization
NPI issued: 10 Feb 2014
Record last updated: 10 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.