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Southeast Urogynecology PA — NPI 1992034771, Jackson, MS | NPI Central

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NPI 1992034771

OrganizationActive

Southeast Urogynecology PA

NPI 1992034771 · Gynecology Physician · Jackson, MS

Provider details

NPI number: 1992034771
Entity type: Organization
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Parent organization: Women'S Specialty Center LLC
Organization subpart: Yes
Authorized official: Robert Harris, Director(601) 948-6540

Specialties & taxonomies

Gynecology PhysicianPrimary207VG0400X
Allopathic & Osteopathic Physicians
Urology Physician208800000X
Allopathic & Osteopathic Physicians

Practice location

501 Marshall St

Suite 607-A

Jackson, MS 39202-1651

Phone: (601) 948-6540

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

501 Marshall St

Jackson, MS 39202-1651

Registry dates

Enumerated: 2009-12-08
Last updated: 2010-02-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.