| NPI | 1851426878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE C MALLOY Owner 770-991-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 621111) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-05-03 |