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Organization
HERITAGE OBGYN
Active
Organization
HERITAGE OBGYN
Active
Parent organization
HERITAGE OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE OBGYN
Authorized official
ANNETTE SLOAN (ADMINISTRATOR)
(770) 531-1515
Entity
Organization
Contact information
Practice address
2695 OLD WINDER HWY, STE 250, BRASELTON, GA 30517-6075
(770) 965-4170
(770) 965-4171
Mailing address
668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
(770) 531-1515
(770) 531-1930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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