Organization
SUPREME HEALTHCARE OB/GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMAR DUNN (ASSISTANT PRACTICE MANAGER)
(678) 518-9691
Entity
Organization
Contact information
Practice address
5536 FLAT SHOALS PKWY, SUITE A, DECATUR, GA 30034-5408
(678) 518-9691
(678) 518-9692
Mailing address
5536 FLAT SHOALS PKWY, SUITE A, DECATUR, GA 30034-5408
(678) 518-9691
(678) 518-9692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
57621
GA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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