| NPI | 1245769777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA R. CREWS Pratice Administrator 404-375-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |