Organization
GRIFFIN OB/GYN CLINIC 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
503 S 8TH ST, GRIFFIN, GA 30224-4211
(770) 467-0614
(770) 412-7881
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
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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