Organization
SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD D REED (PRESIDENT)
(678) 843-6409
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 900, ATLANTA, GA 30342-1609
(678) 420-4100
(678) 420-4111
Mailing address
980 JOHNSON FERRY ROAD,, SUITE 900, ATLANTA, GA 30342-1609
(678) 420-4100
(678) 420-4111
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
09/12/2011
Last updated
02/03/2012
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