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SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S LLC NPI 1750663118


NPI Information

NPI: 1750663118
Provider Name: SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S, LLC
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
980 JOHNSON FERRY RD NE
SUITE 900
ATLANTA, GA
ZIP 30342
Phone: (678) 420-4100
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SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S, 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 AT SAINT JOSEPH'S, LLC NPI is 1750663118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

980 JOHNSON FERRY RD NE
SUITE 900
ATLANTA, GA
ZIP 30342-609
Phone: (678) 420-4100
Fax: (678) 420-4111

The provider's authorized official is Ronald D Reed .
The authorized official title is President and has the following contact phone number (678) 843-6409.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 2/3/2012.


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
1208800000XUrologyNo
2207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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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