| NPI | 1306288048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISIA MILFORT Administrator 770-551-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 0026933) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |