| NPI | 1821203902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY P ZENGO President 706-769-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 37738) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-03-27 |