Organization
PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.
Active
Other names
Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D DWYER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Mailing address
1300 SAWGRASS CORPORATE PARKWAY, SUITE 200, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300041899A
—
GA
Enumeration date
09/28/2006
Last updated
11/21/2024
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