Healthcare Provider Details

I. General information

NPI: 1881063618
Provider Name (Legal Business Name): REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PEACHTREE RD NE SUITE 650
ATLANTA GA
30309-1476
US

IV. Provider business mailing address

1125 OXFORD RD NE
ATLANTA GA
30306-2607
US

V. Phone/Fax

Practice location:
  • Phone: 404-370-1817
  • Fax:
Mailing address:
  • Phone: 404-370-1817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number037844
License Number StateGA

VIII. Authorized Official

Name: DR. CAROLYN R KAPLAN
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 404-370-1817