Organization
ATLANTA GWINNETT OBGYN ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY FOUNTAIN MD (PRESIDENT)
(678) 985-8001
Entity
Organization
Contact information
Practice address
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30045-8726
(678) 985-8001
(678) 985-8002
Mailing address
766 WALTHER ROAD, SUITE 100, LAWRENCEVILLE, GA 30045
(678) 985-8001
(678) 985-8002
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
034593
GA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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