South, Mary

South, Mary is an individual health care provider with primary practice located at 809 White Pond, Dr, Suite B , Akron OH 44320. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. South, Mary can be contacted via phone (234) 205-2040.

Contact Information

Primary practice address
809 White Pond, Dr, Suite B Akron OH 44320
Phone: (234) 205-2040
Fax: (234) 260-8929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-091391 Ohio
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 35 091391 Ohio

Profile Details

NPI number 1215011184
LBN Legal business name South, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215011184 NPPES
Ohio MEDICAID 2859812
Ohio MEDICAID 200911640
Ohio MEDICAID 7100056360
Ohio MEDICAID 5901063

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