MEDICARE: GYN-CARE INC

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	207V00000X	Obstetrics & Gynecology Physician		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538444005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYN-CARE INC

Provider Business Mailing Address
First Line	:	3625 CUMBERLAND BLVD SE STE 960
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-6406
Country	:	US
Telephone Number	:	470-790-3391
Fax Number	:	770-284-6236

Provider Business Practice Location Address
First Line	:	264 19TH ST NW STE 2230
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30363-1139
Country	:	US
Telephone Number	:	770-434-3800
Fax Number	:	770-284-6236

Authorized Official
Title or Position	:	DIRECTOR/PRESIDENT
Name	:	DR. ERIC LAWRENCE BROWN
Credential	:	MD
Telephone Number	:	770-265-5787

Provider Enumeration Date	:	10/17/2011
Last Update Date	:	09/29/2025

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Directions to “GYN-CARE INC ” Practice Location

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