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Organization

FOREVER CARE OB/GYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
XUAN CAO M.D (OWNER)
(770) 284-3099
Entity
Organization

Contact information

Practice address
3635 PEACHTREE INDUSTRIAL BLVD, SUITE 550, DULUTH, GA 30096-2806
(770) 284-3099
Mailing address
3635 PEACHTREE INDUSTRIAL BLVD, SUITE 550, DULUTH, GA 30096-2806
(770) 284-3099

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
674114
GA

Other

Enumeration date
04/19/2013
Last updated
04/19/2013
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