EXECUTIVE OB-GYN, PC

POWDER SPRINGS, GA
NPI1407023005
Entity TypeOrganization
Authorized ContactDEBRA TOLLEY WHELAN
President
770-795-0850
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
(Licence: GA  r59280)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
EXECUTIVE OB-GYN, PC
635 GOLDENWOOD CT
POWDER SPRINGS, GA 30127-6406
Phone number: 770-795-0850
Mailing Address
EXECUTIVE OB-GYN, PC
635 GOLDENWOOD CT
POWDER SPRINGS, GA 30127-6406
Phone number: 770-795-0850