Organization
MONROE HMA PHYSICIAN MANAGEMENT LLC
Active
Parent organization
MONROE HMA PHYSICIAN MANAGEMENT LLC
Other names
Loganville OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONROE HMA PHYSICIAN MANAGEMENT LLC
Authorized official
JENNIFER VIRGILIO (PRACTICE MANAGER)
(770) 207-7859
Entity
Organization
Contact information
Practice address
3543 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(770) 913-8082
(770) 913-8085
Mailing address
705 BREEDLOVE DR, SUITE 200, MONROE, GA 30655-2090
(770) 266-0351
(770) 266-0313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051832
GA
Other
Enumeration date
02/27/2009
Last updated
03/05/2009
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