NPI | 1922171081 |
---|---|
Former Legal Business Name | COBB GYN CLINIC, P.A. |
Entity Type | Organization |
Authorized Contact | TERESA L FRANK Office Manager 770-577-7030 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 014251) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 015528) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2010-09-28 |