Organization
NORTH PARK OB-GYN ASSOCIATED 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY DEPP (PAYER RELATIONS LIAISON)
(770) 579-2626
Entity
Organization
Contact information
Practice address
2051 HAMILL RD STE 400, HIXSON, TN 37343-4653
(423) 877-4549
(423) 875-8510
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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