| NPI | 1003343963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DEPP Payer Relations Liaison 770-579-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 40540) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |