Organization
CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS KONGOASA MD (MEDICAL DIRECTOR)
(770) 450-8677
Entity
Organization
Contact information
Practice address
3965 HOLCOMB BRIDGE RD STE 100, NORCROSS, GA 30092-2203
(770) 450-8677
(678) 792-8927
Mailing address
3965 HOLCOMB BRIDGE RD STE 100, NORCROSS, GA 30092-2203
(770) 450-8677
(678) 792-8927
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
08/16/2023
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