NPI | 1811527930 |
---|---|
Doing Business As | EXPRESS GYN CARE |
Former Legal Business Name | EXPRESS GYN, CORP |
Entity Type | Organization |
Authorized Contact | CRYSTAL LAVETTE WELCH Owner 404-423-8132 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |