| NPI | 1093296824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B RAYBON Owner 678-344-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-04-26 |