MEDICARE: ATLANTA OBSTETRICS AND FAMILY CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	043110	GA

General Provider Information

NPI Number	:	1487762795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA OBSTETRICS AND FAMILY CARE, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 411
Second Line	:
City	:	TYRONE
State	:	GA
Zip	:	30290-0411
Country	:	US
Telephone Number	:	404-305-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 CLEVELAND AVE
Second Line	:	SUITE 1A
City	:	EAST POINT
State	:	GA
Zip	:	30344-3417
Country	:	US
Telephone Number	:	404-305-8900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	BELKIS PIMENTEL
Credential	:	M.D.
Telephone Number	:	404-305-8900

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	08/22/2020

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