| NPI | 1487784468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA G REISMAN CFO Sec/Treas. 770-992-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 021428) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-11-30 |