| NPI | 1306321476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA R. CREWS Practice Administrator 404-835-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2021-03-16 |