| NPI | 1669968251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KONGOASA Medical Director 770-450-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-08-16 |