Organization
DOURRON NORTHSIDE OB GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P DOURRON M.D. (CEO)
(404) 294-0472
Entity
Organization
Contact information
Practice address
2675 NORTH DECATUR ROAD, SUITE 301, DECATUR, GA 30033
(404) 294-0472
Mailing address
2675 NORTH DECATUR ROAD, SUITE 301, DECATUR, GA 30033
(404) 294-0472
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
048617
GA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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