NPI | 1376326520 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA FROMKIN Credentialing Mgr 706-494-3071 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-09-01 |