| NPI | 1144508896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA BATES Practice Administrator 770-333-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 033212) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |