# HERITAGE OBSTETRICS & GYNECOLOGY 2 LLC

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

## Provider details

- **NPI number:** 1881965192
- **Authorized official:** MS. ALICIA HOLDEN (BILLING MANAGER)
- **Authorized official phone:** (404) 943-0205

## Contact information

- **Practice address:** 668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
- **Practice address phone:** (770) 531-1515
- **Mailing address:** 5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-5388
- **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:** 01/18/2012
- **Last updated:** 01/27/2012