| NPI | 1982882338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE REID Administrator 770-541-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 31197) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |