Heritage Obgyn

NPI #1285902197 in Braselton, Georgia

Provider Information

NPI Number: 1285902197
Entity Type: Organization
Organization Name: Heritage Obgyn
Subpart: Yes (part of a larger organization)
Parent Organization: HERITAGE OBGYN
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Dec 6, 2011
Last Updated: Dec 6, 2011

Practice Location

Address: 2695 OLD WINDER HWY
Address 2: STE 250
City: Braselton
State: Georgia
ZIP Code: 30517-6075
Phone: (770) 965-4170

Authorized Official

Name: ANNETTE SLOAN
Title: ADMINISTRATOR
Phone: (770) 531-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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