| NPI | 1689759581 |
|---|---|
| Doing Business As | MIDTOWN OB GYN |
| Entity Type | Organization |
| Authorized Contact | SERENA DAVIS TIDWELL President 706-320-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: GA 051192) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-01-20 |