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Organization

OB-GYN ASSOCIATES OF MARIETTA, LLC

Active
Parent organization
ATLANTA WOMEN'S HEALTH GROUP, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
ATLANTA WOMEN'S HEALTH GROUP, P.C.
Authorized official
RICHARD ZANE MD (CEO)
(678) 891-6541
Entity
Organization

Contact information

Practice address
699 CHURCH ST NE STE 300, MARIETTA, GA 30060-1122
(770) 422-8700
(770) 425-7601
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300034164A
GA
01
GRP3569
OB/GYN
GA
Enumeration date
03/12/2018
Last updated
01/29/2020
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