| NPI | 1629108964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J. DE MARCO Member 770-432-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 030987) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-16 |