Organization
EHMD 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY DEPP (PAYER RELATIONS LIAISON)
(770) 579-2626
Entity
Organization
Contact information
Practice address
222 S WOODS MILL RD, SUITE 360N, CHESTERFIELD, MO 63017-3625
(636) 489-0179
(314) 205-6786
Mailing address
PO BOX 468029, ATLANTA, GA 31146-8029
(404) 214-0205
(404) 214-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MO
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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