Organization
GENESIS WOMEN'S CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J BROGDEN M.D. (PRESIDENT)
(706) 629-7380
Entity
Organization
Contact information
Practice address
190 CURTIS PKWY NE, SUITE B, CALHOUN, GA 30701-2057
(706) 629-7380
(706) 629-5406
Mailing address
PO BOX 2105, CALHOUN, GA 30703-2105
(706) 629-7380
(706) 629-5406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051437
GA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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