| Cobb Gynecologist 2 LLC | |
|
1791 Mulkey Rd Ste 200 Austell GA 30106-1124 | |
| (404) 943-0205 | |
| Not Available |
| Full Name | Cobb Gynecologist 2 LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1791 Mulkey Rd Ste 200, Austell, Georgia |
| Authorized Official Name and Position | Alicia Holden (LEAD) |
| Authorized Official Contact | 4049430205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobb Gynecologist 2 LLC Po Box 468329 Atlanta GA 31146-8329 | Cobb Gynecologist 2 LLC 1791 Mulkey Rd Ste 200 Austell GA 30106-1124 Ph: (404) 943-0205 |
| NPI Number | 1538369970 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538369970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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