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NPI Code Detail

MEDICARE: EAST METRO OB GYN SPECIALISTS INC

MEDICARE: EAST METRO OB GYN SPECIALISTS 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
1174400000XSpecialist00001733GA

General Provider Information

NPI Number : 1639338031
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST METRO OB GYN SPECIALISTS INC
Provider Business Mailing Address
First Line : 1311 MILSTEAD AVE NE
Second Line :
City : CONYERS
State : GA
Zip : 30012-3829
Country : US
Telephone Number : 770-483-2368
Fax Number : 770-785-5080
Provider Business Practice Location Address
First Line : 4106 MILL ST NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2539
Country : US
Telephone Number : 770-786-8955
Fax Number : 770-785-5080
Authorized Official
Title or Position : FACOG
Name : MOHAMAD A EL-ATTAR
Credential : MD
Telephone Number : 770-483-2368
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/03/2008

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Directions to “EAST METRO OB GYN SPECIALISTS INC ” Practice Location

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