| NPI | 1538645908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KONGOASA Cmo 770-450-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-09-06 |