Organization
LAKESIDE OB/GYN AND PELVIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN MASSEY (PRACTICE ADMINISTRATOR)
(678) 450-4757
Entity
Organization
Contact information
Practice address
1498 JESSE JEWELL PKWY SE, SUITE D, GAINESVILLE, GA 30501-3852
(678) 450-4757
(678) 450-4758
Mailing address
PO BOX 2994, GAINESVILLE, GA 30503-2994
(678) 450-4757
(678) 450-4758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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