| NPI | 1841966462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DORRIS Practice Manager 770-913-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |