Organization
GYNECOLOGY ISSUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DIANE LINDSEY (FRONT OFFICE)
(770) 732-7989
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR STE 120A, DOUGLASVILLE, GA 30134-2271
(770) 732-7989
(770) 732-2389
Mailing address
8954 HOSPITAL DR STE 120A, DOUGLASVILLE, GA 30134-2271
(770) 732-7989
(770) 732-2389
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
033093
GA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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