Organization
BLOSSOM WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUITA MARTINEZ MD (ORGANIZER)
(678) 960-8700
Entity
Organization
Contact information
Practice address
3400 OLD MILTON PKWY STE C585, ALPHARETTA, GA 30005-4434
(678) 960-8700
Mailing address
3400 OLD MILTON PKWY STE C585, ALPHARETTA, GA 30005-4434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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