| NPI | 1871096305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ZANE CEO 678-891-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-01-29 |