Organization
HERITAGE OBGYN
Active
Parent organization
HERITAGE OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE OBGYN
Authorized official
ANNETTE SLOAN (ADMINISTRATOR)
(770) 531-1515
Entity
Organization
Contact information
Practice address
2695 OLD WINDER HWY, STE 250, BRASELTON, GA 30517-6075
(770) 965-4170
(770) 965-4171
Mailing address
668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
(770) 531-1515
(770) 531-1930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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