| NPI | 1689818254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SEAN TUCKER Sole Proprietor 404-763-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 055033) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |