OrganizationActive
Advanced Gynecology PC
NPI 1205472362 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Atlanta, GA
Provider details
- NPI number
- 1205472362
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robert Raybon, Owner
Practice location
1800 Peachtree St Nw Ste 660
Atlanta, GA 30309-2522
Phone: (678) 344-8900
Fax: (678) 666-5201
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.