MT VERNON OB/GYN LLC NPI 1811928054

NPI Information

MT VERNON OB/GYN, LLC is an obstetrics gynecology in Atlanta, 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. MT VERNON OB/GYN, LLC NPI is 1811928054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

755 MOUNT VERNON HWY NE
#330
ATLANTA, GA
ZIP 30328-274
Phone: (404) 256-2277

The provider's authorized official is Stephen C Blank .
The authorized official title is Owner and has the following contact phone number (404) 256-2277.

The CLIA number assigned to this NPI record is 11D0259693 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/5/2007.

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

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