| NPI | 1083794184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OSBORNE COO 678-646-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-07-07 |