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BOUTIQUEGYN WELLNESS CENTER
NPI 1457187742
Obstetrics & Gynecology - Gynecology in Brookhaven, GA

Active since September 12, 2024
2970 CLAIRMONT RD NE, BROOKHAVEN, GA 30329(713) 878-7102 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Boutiquegyn Wellness Center NPPES

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

BOUTIQUEGYN WELLNESS CENTER (NPI 1457187742) is a healthcare organization registered as a gynecology in Brookhaven, Georgia and active in the NPI registry since September 2024. The organization lists Fonda D. Martin, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1457187742
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameBOUTIQUEGYN WELLNESS CENTER
Location Address2970 CLAIRMONT RD NEBrookhaven, GA 30329-1638
Mailing Address530 Semira St SwAtlanta, GA 30331-8378
Phone(713) 878-7102
Organization SubpartNo
Authorized OfficialFonda D. MartinCeo/founder · (713) 878-7102
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1457187742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2970 CLAIRMONT RD NE, Brookhaven, GA 30329
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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 2

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

DR. TAMMY L BREGMAN D.M.D.
Dentist (General Practice)
2970 CLAIRMONT RD NE, SUITE 195
ATLANTA, GA 30329
Dekalb County (404) 636-2763
ZACHARY DUBIN DMD
Dentist (General Practice)
2970 CLAIRMONT RD NE
BROOKHAVEN, GA 30329
Dekalb County (404) 636-2763

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 Boutiquegyn Wellness Center's NPI number?

The NPI number for Boutiquegyn Wellness Center is 1457187742. It was assigned to this organization in the NPPES registry on September 12, 2024.

Where is Boutiquegyn Wellness Center located?

Boutiquegyn Wellness Center is located at 2970 Clairmont Rd NE, Brookhaven, GA 30329. The listed phone number is (713) 878-7102.

What is Boutiquegyn Wellness Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Boutiquegyn Wellness Center was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.