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HERITAGE OBGYN NPI 1285902197


NPI Information

NPI: 1285902197
Provider Name: HERITAGE OBGYN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2695 OLD WINDER HWY
STE 250
BRASELTON, GA
ZIP 30517
Phone: (770) 965-4170
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HERITAGE OBGYN is an obstetrics gynecology in Braselton, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. HERITAGE OBGYN NPI is 1285902197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2695 OLD WINDER HWY
STE 250
BRASELTON, GA
ZIP 30517-075
Phone: (770) 965-4170
Fax: (770) 965-4171

The provider's authorized official is Annette Sloan .
The authorized official title is Administrator and has the following contact phone number (770) 531-1515.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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