| NPI | 1629390133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L DOURRON Owner/Physician 678-381-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 014308) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 014308) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 014308) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-12-11 |