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General NPI Number Information
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NPI Number | 1295440949
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Entity Type | Organization
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Legal Business Name | GEORGIA OB/GYN. LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 84 JEFFERSON PKWY STE A
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City | NEWNAN
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State | GA
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Zip | 30263-3183
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Country | US
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Telephone | 470-400-5205
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Fax |
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Provider Business Mailing Address
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Address Line | 90F GLENDA TRCE # 416
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City | NEWNAN
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State | GA
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Zip | 30265-3858
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Country | US
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Telephone | 470-400-5205
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA NATER
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Credential | MD
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Telephone | 770-990-0233
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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 |
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License Number State |
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