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CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY LLC NPI 1669968251


NPI Information

NPI: 1669968251
Provider Name: CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
3965 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA
ZIP 30092
Phone: (770) 450-8677
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CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC is a gynecology obstetrics gynecology in Norcross, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC NPI is 1669968251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3965 HOLCOMB BRIDGE RD STE 100
NORCROSS, GA
ZIP 30092-203
Phone: (770) 450-8677
Fax: (678) 792-8927

The provider's authorized official is Nicholas Kongoasa .
The authorized official title is Medical Director and has the following contact phone number (770) 450-8677.

The enumeration date for this NPI number is 7/6/2018 and was last updated on 8/16/2023.


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
1207VG0400XObstetrics & GynecologyGynecologyYes

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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