NPI | 1962639807 |
---|---|
Doing Business As | EMANUEL OB/GYN |
Entity Type | Organization |
Authorized Contact | OWEN TYRELL KELLY Delegated Official 478-289-1192 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2009-06-18 |
Last Update Date | 2020-02-25 |