NPI | 1215436043 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ZANE Chief Executive Officer, Owner 678-891-6541 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |