| NPI | 1043493547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DENISE LEMONS Billing Mgr 678-904-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2015-06-25 |