Organization
GYN ATLANTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FRANCIS BOVERI MD (PRESIDENT)
(404) 250-3600
Entity
Organization
Contact information
Practice address
5430 GLENRIDGE DR, ATLANTA, GA 30342-1342
(404) 250-3600
(404) 381-2176
Mailing address
1067 STOVALL BLVD NE, ATLANTA, GA 30319-1220
(404) 312-1047
(404) 481-2176
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622949E
—
GA
Enumeration date
12/07/2020
Last updated
12/07/2020
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