| NPI | 1992946644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J WARE President 706-724-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: GA 036476) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2021-07-09 |