Organization Name: | ALPHA OB-GYN GROUP, P.C. |
NPI Number: | 1003051012 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL ENOCH MCBRAYER (DOCTOR) |
Mailing Address: | 1640 Powers Ferry Rd Bldg 23 Marietta |
State: | GA US |
Postal Code: | 300675491 |
Phone Number: | 4045848428 |
Fax Number: | 7706909441 |
NPI Enumeration Date: | 12/04/2008 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 018697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |