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GEORGIA GYNECOLOGY NPI 1538354071


NPI Information

NPI: 1538354071
Provider Name: GEORGIA GYNECOLOGY
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 11D1048896

Address:
1690 STONE VILLAGE LN NW
SUITE 401
KENNESAW, GA
ZIP 30152
Phone: (770) 427-2533
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GEORGIA GYNECOLOGY is a gynecology obstetrics gynecology in Kennesaw, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee GEORGIA GYNECOLOGY NPI is 1538354071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1690 STONE VILLAGE LN NW
SUITE 401
KENNESAW, GA
ZIP 30152-776
Phone: (770) 427-2533

The provider's authorized official is Mojgan Khatami .
The authorized official title is Owner/physician and has the following contact phone number (770) 427-2533.

The CLIA number assigned to this NPI record is 11D1048896 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyYes

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: 4/28/2024

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