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My Obgyn Pc
Specialist in Riverdale, Georgia
NPI 1669534210

My Obgyn Pc is a Specialist based in Riverdale, GA. My Obgyn Pc practices in Riverdale, GA. The NPI Number for My Obgyn Pc is 1669534210 and holds a License No. 044077 (Georgia).

The current practice location address for My Obgyn Pc is 81 Upper Riverdale Rd, Riverdale, GA and can be reached out via phone at 770-996-1200 and via fax at 770-907-7492.

Location: 81 Upper Riverdale Rd, Riverdale, GA, 30296-6921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669534210
Provider Name
My Obgyn Pc
Credential
Provider Entity Type
Organization
Address
81 Upper Riverdale Rd, Riverdale, GA, 30296-6921
Phone Number
770-996-1200
Fax Number
770-907-7492
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300020659A 05 GA
institution
Provider Business Practice Location Address Details
Address
81 Upper Riverdale Rd
City
Riverdale
State
Georgia
Zip
30274-2627
Phone Number
770-996-1200
Fax Number
770-907-7492
person
Provider Business Mailing Address Details
Address
81 Upper Riverdale Rd
City
Riverdale
State
Georgia
Zip
30274-2627
Phone Number
770-996-1200
Fax Number
770-907-7492
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
044077 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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