| NPI | 1669784252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID VIVIAN REYES Secretary 404-446-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 064060) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-09-23 |