| NPI | 1053012260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER GLENN Owner, Md 678-944-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |