Organization
PARKWAY PHYSICIANS PRACTICE COMPANY
Active
Other names
Thornton Road Womens Center - West
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(770) 732-7987
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR, SUITE 120-A, DOUGLASVILLE, GA 30134-2272
(770) 732-7987
Mailing address
8954 HOSPITAL DR, SUITE 120-A, DOUGLASVILLE, GA 30134-2272
(770) 732-7987
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
08/29/2007
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