Premier Womens Obgyn, LLC

NPI #1083819429 in Riverdale, Georgia

Provider Information

NPI Number: 1083819429
Entity Type: Organization
Organization Name: Premier Womens Obgyn, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 17, 2007
Last Updated: Mar 4, 2020

Practice Location

Address: 237 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2537
Phone: (770) 909-5003

Authorized Official

Name: MRS. TRACEY BLANDER
Title: PRACTICE MANAGEMENT CONSULTANT
Phone: (770) 716-6203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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