Georgia Gifts From Grace Llc

NPI 1083990501 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1083990501
Enumeration Date 10/28/2011
Last Updated 06/07/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WESLEY O. WESLEY
Position REGIONAL CFO, TENET
Phone (770) 622-5889
Fax (770) 622-5890
Practice Location
2500 HOSPITAL BLVD
SUITE 290
ROSWELL GA, 30076-4907, US
Phone (770) 622-5889
Fax (770) 622-5890
Business Location
PO BOX 741908
ATLANTA GA, 30374-1908, US
Phone (770) 622-5889
Fax (770) 622-5890
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Georgia Gifts From Grace Llc NPI is 1083990501, taxonomy code is 207V00000X Georgia Gifts From Grace Llc physically located at 2500 Hospital Blvd, Roswell GA, 30076-4907. NPI Number 1033115704 has the healthcare provider type.

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1083990501 NPI number is provided on an as is basis without warranty of any kind. 1083990501 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Gifts From Grace Llc are for informational purposes only.