Cheshire Bridge Gyn

NPI #1962740001 in Atlanta, Georgia

Provider Information

NPI Number
1962740001
Entity Type
Organization
Organization Name
Cheshire Bridge Gyn
Primary Specialty
Clinic/Center - Ambulatory Family Planning Facility
Enumeration Date
Jan 24, 2013
Last Updated
Jan 24, 2013

Practice Location

Address
1874 PIEDMONT RD NE
Address 2
SUITE 580 E
State
Georgia
ZIP Code
30324-4869
Phone
(404) 602-4495

Authorized Official

Name
TYRONE C MALLOY, MD
Title
OWNER
Phone
(404) 892-3239

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - Ambulatory Family Planning FacilityAmbulatory Family Planning Facility

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