Organization
EAST ATLANTA GYNECOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY LASHUNT HOWELL MD,MBA,FACOG,FICS (CEO PHYSICIAN)
(770) 593-8866
Entity
Organization
Contact information
Practice address
5900 HILLANDALE DR, SUITE 255, LITHONIA, GA 30058-3802
(770) 593-8866
(404) 501-8270
Mailing address
5900 HILLANDALE DR, SUITE 255, LITHONIA, GA 30058-3802
(770) 593-8866
(404) 501-8270
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0341611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00470874B
—
GA
01
—
0341611
STATE LICENSE
GA
Enumeration date
11/07/2006
Last updated
08/22/2020
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