| NPI | 1568646255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN KAY BRASIEL Offfice Manager 678-417-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 013182) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |