Active NPI
Southwest Clinic for Women PLLC
- Gynecology Physician
- McComb, MS
National Provider Identifier
1174632889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 05010
- Legal business name
- SOUTHWEST CLINIC FOR WOMEN PLLC
- Practice address
- 300 Rawls Drive
Suite 900
McComb, MS 39648 - Phone
- (601) 684-4443
- Fax
- (601) 684-4491
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. E J Price Jr., MD
- Title
- Sole Proprietor
- Phone
- (601) 684-4443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 05010 | MS | Primary |
Addresses
Primary practice location
300 Rawls Drive
Suite 900
McComb, MS 39648
Mailing address
PO Box 848
McComb, MS 39649-0848
Phone (601) 684-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015978 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- McComb, MS
- NPI 1366551079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1174632889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490848",
"telephone_number": "601-684-4443",
"fax_number": "601-684-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RAWLS DRIVE",
"address_2": "SUITE 900",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-684-4443",
"fax_number": "601-684-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST CLINIC FOR WOMEN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "E",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "601-684-4443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MS",
"license": "05010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015978",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
- Shanae Roshelle Smith
- Shyekia Smith, MSCE
- Pamela Sue Smithie, D.M.D.
- Southern Alternative & Integrative Medicine
- Southwest Center for Facial and Oral Surgery
- Southwest Discoun T Drugs
- Southwest Mississippi Ear, Nose & Throat Clinic, P.a.
- Southwest Mississippi ENT, LLC
- Southwest Mississippi Eye Center
- Southwest Mississippi Hearing Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.