Eagle'S Landing Ob Gyn 2 LLC
Obstetrics & Gynecology in Stockbridge, GA. Organization (NPI-2).
NPI number1992835698
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992835698
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle'S Landing Ob Gyn 2 LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
350 Country Club DrSuite D
Stockbridge, GA 30281-9084
Phone 404-943-0205
Mailing address
Po Box 468329Atlanta, GA 31146-8329
Phone 404-943-0205
Authorized official
Alicia Holden
Lead
4049430205
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