Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Urogynecology PA

Organization Gynecology Physician · NPI 1992034771

Southeast Urogynecology PA is a Gynecology Physician in Jackson, Mississippi. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Marshall St Ste 607-A
Jackson, MS 39202-1651
Phone: (601) 948-6540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
Urology Physician Taxonomy 208800000X

Record details

NPI number1992034771
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWomen's Specialty Center LLC
Authorized official Robert Harris — Director · (601) 948-6540
NPI enumeratedDecember 8, 2009
Last updated in NPPESFebruary 18, 2010
Mailing address501 Marshall St, Suite 600, Jackson, MS 39202-1651

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