| NPI | 1194776674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GANN Office Administrator 770-972-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-06-22 |