| NPI | 1447433644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN LESKOVEN Office Manager 770-427-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 037661) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |