# GYN-CARE 2, LLC

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

## Provider details

- **NPI number:** 1780168443
- **Authorized official:** SHELLEY DEPP (PAYER RELATIONS LIAISON)
- **Authorized official phone:** (770) 579-2626

## Contact information

- **Practice address:** 2635 S COBB DR SE, SMYRNA, GA 30080-1845
- **Practice address phone:** (770) 434-3800
- **Practice address fax:** (770) 434-6852
- **Mailing address:** PO BOX 468329, ATLANTA, GA 31146-8329
- **Mailing address phone:** (404) 943-0205
- **Mailing address fax:** (404) 943-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2018
- **Last updated:** 09/19/2018
