Organization
COBB WOMEN'S HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HITENDRA HANSALIA M.D. (PARTNER)
(770) 944-8660
Entity
Organization
Contact information
Practice address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106-1151
(770) 944-8660
(770) 944-8661
Mailing address
1810 MULKEY RD, SUITE 102, AUSTELL, GA 30106-1151
(770) 944-8660
(770) 944-8661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022002A
—
GA
Enumeration date
03/09/2006
Last updated
09/07/2010
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