Healthcare Provider Details

I. General information

NPI: 1093211427
Provider Name (Legal Business Name): NATCHEZ WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SGT PRENTISS DR STE 301
NATCHEZ MS
39120-4753
US

IV. Provider business mailing address

46 SGT PRENTISS DR STE 301
NATCHEZ MS
39120-4753
US

V. Phone/Fax

Practice location:
  • Phone: 601-442-4488
  • Fax: 601-445-2247
Mailing address:
  • Phone: 601-442-4488
  • Fax: 601-445-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number13175
License Number StateMS

VIII. Authorized Official

Name: DUNCAN FRANKLIN GUEDON
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 601-442-4488