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General NPI Number Information
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NPI Number | 1689810475
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Entity Type | Organization
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Legal Business Name | ATLANTA SOUTH GYNECOLOGY AND OBSTETRICS P.C.
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 500 LANIER AVE W STE 407
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7638
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Country | US
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Telephone | 770-716-5977
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Fax | 678-817-5339
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Provider Business Mailing Address
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Address Line | 500 W LANIER AVE STE.405
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7636
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Country | US
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Telephone | 770-716-5977
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Fax | 770-716-5261
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Authorized Official
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Title or Position | M.D.
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Name | DR. SETH ARMOND SCHWARTZ
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Credential | M.D.
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Telephone | 770-716-5977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 022635
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License Number State | GA
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