Organization
OBGYNE BIRTH CENTER FOR NATURAL DELIVERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDRIONA COLEMAN (ADMINISTRATIVE TEAM)
(478) 745-3014
Entity
Organization
Contact information
Practice address
167 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-3239
(478) 745-3014
Mailing address
167 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-3239
(478) 745-3014
(478) 992-9786
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226256A
—
GA
Enumeration date
05/16/2018
Last updated
11/23/2021
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