Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 080023 | GA |
Y | 207VX0000X | Obstetrician | 080023 | GA |
NPI | 1326468604 |
---|---|
Provider Name | Dr. Connie Francia Osorio |
First Address | Flowery Branch, GA 30542-6463 |
Second Address | Gainesville, GA 30501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2014 |
Last Update Date | 07/03/2019 |