Marietta Ob Gyn Affiliates 2 LLC

NPI #1104955137 in Marietta, Georgia

Provider Information

NPI Number: 1104955137
Entity Type: Organization
Organization Name: Marietta Ob Gyn Affiliates 2 LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 5, 2007
Last Updated: Feb 24, 2011

Practice Location

Address: 625 CHURCH ST NE
City: Marietta
State: Georgia
ZIP Code: 30060-1101
Phone: (404) 943-0205

Authorized Official

Name: ALICIA HOLDEN, ACCOUNTING
Title: LEAD
Phone: (404) 943-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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