# MOGU 2 LLC

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

## Provider details

- **NPI number:** 1891124483
- **Authorized official:** MRS. LATOYSHA SHANTA DANGLER (LAB BILLING MANAGER)
- **Authorized official phone:** (404) 943-0205

## Contact information

- **Practice address:** 816 S KIRKWOOD RD STE 100, KIRKWOOD, MO 63122-6056
- **Practice address phone:** (314) 686-4990
- **Practice address fax:** (314) 686-4999
- **Mailing address:** 5909 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-8102
- **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:** 11/05/2013
- **Last updated:** 11/05/2013