| NPI | 1639335763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIANNE FORD President 770-944-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 017051) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |