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ADVANCED GYNECOLOGY PC NPI 1205472362


NPI Information

NPI: 1205472362
Provider Name: ADVANCED GYNECOLOGY PC
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

CLIA Number: 11D2164259

Address:
1800 PEACHTREE ST NW STE 660
ATLANTA, GA
ZIP 30309
Phone: (678) 344-8900
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ADVANCED GYNECOLOGY PC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Atlanta, GA. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. ADVANCED GYNECOLOGY PC NPI is 1205472362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 PEACHTREE ST NW STE 660
ATLANTA, GA
ZIP 30309-522
Phone: (678) 344-8900
Fax: (678) 666-5201

The provider's authorized official is Robert Brian Raybon .
The authorized official title is Owner and has the following contact phone number (706) 282-7676.

The CLIA number assigned to this NPI record is 11D2164259 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2019 and was last updated on 11/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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