| NPI | 1639254873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA ELLEN GADDY Physician 770-607-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 42248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 42248) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |