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REPRODUCTIVE HEALTH MEDICINE & GYNECOLOGY NPI 1538645908


NPI Information

NPI: 1538645908
Provider Name: REPRODUCTIVE HEALTH MEDICINE & GYNECOLOGY
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 01D2249837

Address:
3965 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA
ZIP 30092
Phone: (470) 535-9379
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REPRODUCTIVE HEALTH MEDICINE & GYNECOLOGY is a reproductive endocrinology obstetrics gynecology in Norcross, GA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. REPRODUCTIVE HEALTH MEDICINE & GYNECOLOGY NPI is 1538645908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3965 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA
ZIP 30092-203
Phone: (470) 535-9379

The provider's authorized official is Nicholas Kongoasa .
The authorized official title is Cmo and has the following contact phone number (770) 450-8677.

The CLIA number assigned to this NPI record is 01D2249837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2018 and was last updated on 9/6/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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: 5/5/2024

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