Provider Demographics
NPI:1134463078
Name:NORTH POINTE OB GYN ASSOCIATES LLC
Entity Type:Organization
Organization Name:NORTH POINTE OB GYN ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:WEBB
Authorized Official - Last Name:PAWICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-886-3555
Mailing Address - Street 1:1505 NORTHSIDE BLVD
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-8223
Mailing Address - Country:US
Mailing Address - Phone:770-886-3555
Mailing Address - Fax:770-205-6501
Practice Address - Street 1:81 NORTHSIDE DAWSON DR
Practice Address - Street 2:SUITE 305
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-0990
Practice Address - Country:US
Practice Address - Phone:770-886-3555
Practice Address - Fax:770-205-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty