Organization

Atlanta Premier Ob/gyn Associates, Pc

Medical Specialty Clinic/Center in Atlanta, GA(View on Map)

Legal Business Name

Atlanta Premier Ob/gyn Associates, Pc

NPI Number

1700131836

NPI Type

Organization

Enumeration Date

07/15/2012

Specialties

(Taxonomies)

Code

261QM2500X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

064644

Contact
Information

Purpose

Mailing
Location

Address

764 MEMORIAL DR SE STE 101
764 MEMORIAL DR SE STE 101

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30316-1573
30316-1573

Country

US
US

Telephone Number

(678) 705-4900
(678) 705-4900

Authorized Official

Name

Dr. Tosha Rogers

Title or Position

PHYSICIAN/OWNER

Telephone Number

(678) 705-4900

Identifiers

Identifier

003100100A

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2022

Provider Address

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