| NPI | 1619157989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMUEL G. VILLANUEVA President 770-963-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 047375) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2011-12-09 |