| NPI | 1669483889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA A SHIRLEY Owner 478-333-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 050921) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-12-17 |