NPI 1003343963

Ideal Gynecology 2, LLC

Organisation Obstetrics & Gynecology Physician Atlanta, GA

Practice location

Address: 3200 Downwood Cir NW STE 220, Atlanta, GA 30327-1611
Phone: (470) 312-3696
Fax: (866) 278-2622
Mailing address: PO Box 468329, Atlanta, GA 31146-8329

Authorised official

Name: Shelley Depp
Title: Payer Relations Liaison
Phone: (770) 579-2626

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 40540 (GA)

Other Obstetrics & Gynecology providers in Georgia →

Registry record

NPI: 1003343963
Entity type: Organization
NPI issued: 22 May 2017
Record last updated: 22 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.