NPI | 1164475703 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE R BRANDT R.N., Practice Manager 770-632-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 20002063) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-10-02 |