SIGNATURE WOMEN'S HEALTHCARE NPI 1295906709

NPI Information

SIGNATURE WOMEN'S HEALTHCARE is an obstetrics gynecology in Lawrenceville, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SIGNATURE WOMEN'S HEALTHCARE NPI is 1295906709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2775 CRUSE RD
STE 2101
LAWRENCEVILLE, GA
ZIP 30044-140
Phone: (404) 380-1200
Fax: (404) 380-7494

The provider's authorized official is Joyce Mckay Merriman .
The authorized official title is Practice Manager and has the following contact phone number (678) 380-1200.

The CLIA number assigned to this NPI record is 11D2039978 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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