Provider Demographics
NPI:1760654347
Name:SPECIAL BEGINNINGS FOR WOMEN
Entity Type:Organization
Organization Name:SPECIAL BEGINNINGS FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-936-3115
Mailing Address - Street 1:120 HOLT COLLIER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39183-4408
Mailing Address - Country:US
Mailing Address - Phone:601-638-1340
Mailing Address - Fax:601-638-6804
Practice Address - Street 1:120 HOLT COLLIER DR
Practice Address - Street 2:SUITE B
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-4408
Practice Address - Country:US
Practice Address - Phone:601-638-1340
Practice Address - Fax:601-638-6804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty