NPI | 1558998070 |
---|---|
Former Legal Business Name | GYNECOLOGY ASSOCIATES OF GEORGIA, LLC |
Entity Type | Organization |
Authorized Contact | WILFREDO A NEGRON Owner 910-467-9916 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2020-03-25 |
Last Update Date | 2022-09-23 |