# LIFE CYCLE OB/GYN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144496605
- **Authorized official:** ANNE SIGOUIN (PRACTICE MANGER)
- **Authorized official phone:** (404) 766-8371

## Contact information

- **Practice address:** 107B UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2540
- **Practice address phone:** (404) 766-8371
- **Mailing address:** 2739 FELTON DR, EAST POINT, GA 30344-3603
- **Mailing address phone:** (404) 766-8371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 032592 | GA | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008