| NPI | 1114115847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B BROWN Owner 770-991-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 32110) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |