Supreme Healthcare Ob/gyn LLC

NPI #1639552649 in Decatur, Georgia

Provider Information

NPI Number: 1639552649
Entity Type: Organization
Organization Name: Supreme Healthcare Ob/gyn LLC
Primary Specialty: Specialist
Enumeration Date: Jul 8, 2015
Last Updated: Jul 8, 2015

Practice Location

Address: 5536 FLAT SHOALS PKWY
Address 2: SUITE A
City: Decatur
State: Georgia
ZIP Code: 30034-5408
Phone: (678) 518-9691

Authorized Official

Name: MS. KIMAR DUNN
Title: ASSISTANT PRACTICE MANAGER
Phone: (678) 518-9691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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