Organization
ETOWAH VALLEY OBSTETRICS & GYNECOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BEN WARREN M.D. (PRESIDENT/OWNER)
(770) 382-5611
Entity
Organization
Contact information
Practice address
970 JOE FRANK HARRIS PKWY SE, SUITE 200, CARTERSVILLE, GA 30120-2159
(770) 382-5611
(770) 382-8381
Mailing address
970 JOE FRANK HARRIS PKWY SE, SUITE 200, CARTERSVILLE, GA 30120-2159
(770) 382-5611
(770) 382-8381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032492
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00443022E
—
GA
Enumeration date
09/08/2005
Last updated
08/22/2020
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