| NPI | 1932382108 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOAN LESKOVEN Office Manager 770-427-0285  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 056458)  | 
| Enumeration Date | 2007-12-11 | 
| Last Update Date | 2007-12-11 |