Organization
ATLANTA MIDTOWN GYNECOLOGY 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
842 N HIGHLAND AVE NE STE 250, ATLANTA, GA 30306-4514
(404) 685-8867
(404) 685-8137
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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