Organization
ATHENS OBSTETRICS AND GYNECOLOGY, LLC
Active
Parent organization
ATLANTA WOMEN'S HEALTH GROUP, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTA WOMEN'S HEALTH GROUP, P.C.
Authorized official
RICHARD ZANE MD (CHIEF EXECUTIVE OFFICER, OWNER)
(678) 891-6541
Entity
Organization
Contact information
Practice address
740 PRINCE AVE STE 3, ATHENS, GA 30606-5903
(706) 548-4272
(706) 548-9181
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
01
—
GRP3569
PTAN
GA
Enumeration date
02/07/2018
Last updated
02/07/2018
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