| NPI | 1790943504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WALKER Practice Administrator 770-898-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 025822) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |