| NPI | 1992885586 |
|---|---|
| Doing Business As | OBGYN ATLANTA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID RANDELL President 404-250-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 040200) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-03-26 |