Organization
LIFE CYCLE OBGYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SIGOUIN (PRACTICE MANAGER)
(404) 766-8371
Entity
Organization
Contact information
Practice address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
Mailing address
2739 FELTON DR, EAST POINT, GA 30344-3603
(404) 766-8371
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
053504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00894396A
—
GA
05
—
235663182A
—
GA
05
—
547811054A
—
GA
Enumeration date
05/04/2007
Last updated
03/18/2008
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