Organization
MT VERNON OB/GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C BLANK MD (OWNER)
(404) 256-2277
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY NE, #330, ATLANTA, GA 30328-4274
(404) 256-2277
Mailing address
3025 BRECKINRIDGE BLVD, SUITE 120, DULUTH, GA 30096-7611
(678) 226-0082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019640
GA
Other
Enumeration date
07/05/2006
Last updated
12/05/2007
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