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General NPI Number Information
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NPI Number | 1114937125
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA WOMEN'S CARE, PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 2685 PEACHTREE PKWY STE 300
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City | SUWANEE
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State | GA
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Zip | 30024-1048
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Country | US
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Telephone | 770-771-5270
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Fax | 770-771-5279
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Provider Business Mailing Address
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Address Line | 2685 PEACHTREE PKWY STE 300
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City | SUWANEE
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State | GA
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Zip | 30024-5901
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Country | US
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Telephone | 770-771-5270
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Fax | 770-771-5279
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | SUJATHA VIVEK
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Credential | MD
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Telephone | 770-771-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 058204
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License Number State | GA
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