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Organization
SLWHG 2 LLC
Active
Organization
SLWHG 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYSHA SHANTA DANGLER (BILLING MANAGER)
(404) 214-4286
Entity
Organization
Contact information
Practice address
16216 BAXTER RD, SUITE 100, CHESTERFIELD, MO 63017-4770
(636) 449-4700
(636) 449-2595
Mailing address
5909 PEACHTREE DUNWOODY RD, SUITE 900, ATLANTA, GA 30328-8102
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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