NPI | 1033472725 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE LEE LOWRY Owner 770-732-2959 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 035462) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2019-09-06 |