| NPI | 1508989161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA E CRAWFORD Owner 678-904-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 54479) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-01 |