SOUTHEASTERN GYNECOLOGIC ONCOLOGY 2 LLC is a gynecologic oncology obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. SOUTHEASTERN GYNECOLOGIC ONCOLOGY 2 LLC NPI is 1023147055. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
980 JOHNSON FERRY RD NE
SUITE 900
ATLANTA, GA
ZIP 30342-626
Phone: (404) 943-0205
The provider's authorized official is Alicia Holden .
The authorized official title is Lead and has the following contact phone number (404) 943-0205.
The CLIA number assigned to this NPI record is 11D0928059 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.