Organization Name: | MONROE HMA PHYSICIAN MANAGEMENT LLC |
NPI Number: | 1073753299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER VIRGILIO (PRACTICE MANAGER) |
Mailing Address: | 3543 Highway 81 Loganville |
State: | GA US |
Postal Code: | 300524336 |
Phone Number: | 7709138082 |
Fax Number: | 7709138085 |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 051832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |