Organization
PREMIER WOMENS SPECIALIST LLC
Active
Other names
Dr Kevin Daus
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M DAUS (PHYSICIAN)
(404) 296-1424
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD STE 501, DECATUR, GA 30033-6134
(404) 296-1424
(404) 501-7393
Mailing address
2675 N DECATUR RD STE 501, DECATUR, GA 30033-6134
(404) 296-1424
(404) 501-7393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02839
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
028394
GA
207V00000X
Obstetrics & Gynecology Physician
12125
AL
207V00000X
Obstetrics & Gynecology Physician
26626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004060095A
—
GA
05
—
000406095A
—
GA
01
—
118352
BCBS
GA
01
—
1477698710
NPI
—
01
—
P00345500
RR MEDICARE
GA
Enumeration date
02/21/2007
Last updated
08/23/2023
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