Organization
LIFE CYCLE OB/GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SIGOUIN CNM (PRACTICE MANAGER)
(404) 766-8371
Entity
Organization
Contact information
Practice address
4720 JONESBORO RD, SUITE 11, UNION CITY, GA 30291-1994
(678) 519-5386
(678) 519-5391
Mailing address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
(404) 767-3926
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045937
GA
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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