Ideal Gynecology 2, LLC

NPI #1003343963 in Atlanta, Georgia

Provider Information

NPI Number: 1003343963
Entity Type: Organization
Organization Name: Ideal Gynecology 2, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 22, 2017
Last Updated: May 22, 2017

Practice Location

Address: 3200 DOWNWOOD CIR NW STE 220
City: Atlanta
State: Georgia
ZIP Code: 30327-1611
Phone: (470) 312-3696

Authorized Official

Name: SHELLEY DEPP
Title: PAYER RELATIONS LIAISON
Phone: (770) 579-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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