| NPI | 1083768691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE K WISKIND Owner President 678-539-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 029013) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |