Basic Information
| Provider Information | |||||||||
| NPI: | 1134463078 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH POINTE OB GYN ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1505 NORTHSIDE BLVD | ||||||||
| Address2: | SUITE 3500 | ||||||||
| City: | CUMMING | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300418223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7708863555 | ||||||||
| FaxNumber: | 7702056501 | ||||||||
| Practice Location | |||||||||
| Address1: | 81 NORTHSIDE DAWSON DR | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | DAWSONVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305340990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7708863555 | ||||||||
| FaxNumber: | 7702056501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2012 | ||||||||
| LastUpdateDate: | 08/06/2013 | ||||||||
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| AuthorizedOfficialLastName: | PAWICH | ||||||||
| AuthorizedOfficialFirstName: | CYNDI | ||||||||
| AuthorizedOfficialMiddleName: | WEBB | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS OFFICE | ||||||||
| AuthorizedOfficialTelephone: | 7708863555 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics | 207VG0400X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.