ACADEMIA OF ENDOSCOPIC SURGERY AND WOMENS HEALTH LLC NPI 1730458829

NPI Information

ACADEMIA OF ENDOSCOPIC SURGERY AND WOMENS HEALTH, LLC is a gynecology obstetrics gynecology in Atlanta, GA. ACADEMIA OF ENDOSCOPIC SURGERY AND WOMENS HEALTH, LLC NPI is 1730458829. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Academia Of Women's Health And Endoscopic Surgery.

The provider's business location address is:

755 MOUNT VERNON HWY
SUITE 240
ATLANTA, GA
ZIP 30328-274
Phone: (404) 549-3224
Fax: (404) 459-0995

The provider's authorized official is Assia A Stepanian .
The authorized official title is Sole Owner and has the following contact phone number (404) 549-3224.

The CLIA number assigned to this NPI record is 11D2044446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.

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:

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