# GEORGIA PRENATAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205334620
- **Authorized official:** MRS. VALENCIA W FLOURNOY (MEDICAL CONSULTANT)
- **Authorized official phone:** (404) 579-2188

## Contact information

- **Practice address:** 950 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-1721
- **Practice address phone:** (470) 545-2131
- **Practice address fax:** (770) 809-5154
- **Mailing address:** 950 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-1721
- **Mailing address phone:** (470) 545-2131
- **Mailing address fax:** (770) 809-5154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 58124 | GA | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 06/16/2018