# PREMIER WOMENS SPECIALIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Kevin Daus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477698710
- **Authorized official:** KEVIN M DAUS (PHYSICIAN)
- **Authorized official phone:** (404) 296-1424

## Contact information

- **Practice address:** 2675 N DECATUR RD STE 501, DECATUR, GA 30033-6134
- **Practice address phone:** (404) 296-1424
- **Practice address fax:** (404) 501-7393
- **Mailing address:** 2675 N DECATUR RD STE 501, DECATUR, GA 30033-6134
- **Mailing address phone:** (404) 296-1424
- **Mailing address fax:** (404) 501-7393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02839 | GA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 028394 | GA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 12125 | AL | — |
| 207V00000X | Obstetrics & Gynecology Physician | 26626 | KY | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/23/2023
