NPI | 1518012863 |
---|---|
Doing Business As | HAVEN GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | BRIAN STEPHEN CHADWICK President 706-812-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2007-01-25 |
Last Update Date | 2010-07-15 |