| NPI | 1649757907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DEPP Payer Relations Liaison 770-579-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |