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Organization
ATHENS OB GYN II, LLC
Active
Organization
ATHENS OB GYN II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY DEPP (PAYER RELATIONS LIAISON)
(770) 579-2626
Entity
Organization
Contact information
Practice address
740 PRINCE AVE STE 3, ATHENS, GA 30606-5903
(706) 548-4272
(706) 548-9181
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(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
01/25/2018
Last updated
01/25/2018
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