# ATHENS OB GYN II, LLC

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

## Provider details

- **NPI number:** 1932607868
- **Authorized official:** MRS. SHELLEY DEPP (PAYER RELATIONS LIAISON)
- **Authorized official phone:** (770) 579-2626

## Contact information

- **Practice address:** 740 PRINCE AVE STE 3, ATHENS, GA 30606-5903
- **Practice address phone:** (706) 548-4272
- **Practice address fax:** (706) 548-9181
- **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:** 01/25/2018
- **Last updated:** 01/25/2018