Organization
VILLA RICA OB GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI MACALUSO- PEARE (DIRECTOR OF FINANCIAL OPERATIONS)
(770) 838-8544
Entity
Organization
Contact information
Practice address
690 DALLAS HWY STE 301, VILLA RICA, GA 30180-1263
(770) 456-3850
(770) 456-3826
Mailing address
690 DALLAS HWY STE 301, VILLA RICA, GA 30180-1263
(770) 456-3850
(770) 456-3826
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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