institution
Old National Ob- Gyn, Llc
Gynecology Physician in College Park, Georgia
NPI 1851426878

Old National Ob- Gyn, Llc is a Gynecology Physician based in College Park, GA and is specialized in Gynecology. Old National Ob- Gyn, Llc practices in College Park, GA. The NPI Number for Old National Ob- Gyn, Llc is 1851426878 and holds a License No. 621111 (Georgia).

The current practice location address for Old National Ob- Gyn, Llc is 6210 Old National Hwy, College Park, GA and can be reached out via phone at 770-991-7552.

Location: 6210 Old National Hwy, College Park, GA, 30349-4330
institution
Provider Profile Details
NPI Number
1851426878
Provider Name
Old National Ob- Gyn, Llc
Credential
Provider Entity Type
Organization
Address
6210 Old National Hwy, College Park, GA, 30349-4330
Phone Number
770-991-7552
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00022741M 05 GA
institution
Provider Business Practice Location Address Details
Address
6210 Old National Hwy
City
State
Zip
30349-4330
Phone Number
770-991-7552
Fax Number
person
Provider Business Mailing Address Details
Address
6210 Old National Hwy
City
State
Zip
30349-4330
Phone Number
770-991-7552
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
621111 (Georgia)
Definition
Definition to come...
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