| NPI | 1295360949 |
|---|---|
| Former Legal Business Name | PREMIER WOMEN'S GYN, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEY ST. JULIAN Physician Owner 770-629-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-03-21 |