| NPI | 1871654624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE H GORDON CEO 678-413-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 049382) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-04-22 |