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MARIETTA OB GYN AFFILIATES 2 LLC
NPI 1104955137
Obstetrics & Gynecology in Marietta, GA

Active since March 05, 2007
625 CHURCH ST NE, MARIETTA, GA 30060(404) 943-0205 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marietta Ob Gyn Affiliates 2 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA OB GYN AFFILIATES 2 LLC (NPI 1104955137) is a healthcare organization registered as an obstetrics & gynecology in Marietta, Georgia and active in the NPI registry since March 2007. The organization lists Alicia Holden, Lead, as its authorized official.

NPPES Registry Identity

NPI1104955137
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARIETTA OB GYN AFFILIATES 2 LLC
Location Address625 CHURCH ST NEMarietta, GA 30060-1101
Mailing AddressPo Box 468329Atlanta, GA 31146-8329 · (404) 943-0205
Phone(404) 943-0205
Organization SubpartNo
Authorized OfficialAlicia HoldenLead · (404) 943-0205
Enumeration DateMarch 5, 2007
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1104955137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
625 CHURCH ST NE, Marietta, GA 30060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SADEKA SHAHANI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
DR. JEROME B BLUMENTHAL MD
Internal Medicine
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
BENYAMIN FARAHVASH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
DR. SRINIVAS BONTHA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Ob Gyn Affiliates 2 LLC's NPI number?

The NPI number for Marietta Ob Gyn Affiliates 2 LLC is 1104955137. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Marietta Ob Gyn Affiliates 2 LLC located?

Marietta Ob Gyn Affiliates 2 LLC is located at 625 Church St NE, Marietta, GA 30060. The listed phone number is (404) 943-0205.

What is Marietta Ob Gyn Affiliates 2 LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Marietta Ob Gyn Affiliates 2 LLC was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.