| NPI | 1790948578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FOUNTAIN President 678-985-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA 034593) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |