| NPI | 1154378198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R ROSSER Practice Mgr 678-605-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 22993) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-08-17 |