Organization Name: | OVAR HEALTHCARE ASSOCIATES,LLC |
NPI Number: | 1477958403 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OVID STEPHEN BARROW (CEO) |
Mailing Address: | 1254 Greenridge Ln Lithonia |
State: | GA US |
Postal Code: | 300582214 |
Phone Number: | 7705591523 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 61203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |