Etowah Valley Obstetrics & Gynecology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

032492 Issued in GA

Legal business name

ETOWAH VALLEY OBSTETRICS & GYNECOLOGY, P.C.

Practice address

970 Joe Frank Harris Pkwy SE
Suite 200
Cartersville, GA 30120-2159

Phone

(770) 382-5611

Fax

(770) 382-8381

NPI assigned

Sep 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Ben Warren, M.D.

Title

President/Owner

Phone

(770) 382-5611

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821082645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 200",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202159",
            "telephone_number": "770-382-5611",
            "fax_number": "770-382-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 200",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202159",
            "telephone_number": "770-382-5611",
            "fax_number": "770-382-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWAH VALLEY OBSTETRICS & GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-382-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "032492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00443022E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shery Eskandar, RPH
• Andy Jesus Espinoza
• Jeffrey David Esslinger, M.D.
• Ethereal Gardens LLC
• Etowah Pathology Associates LLC
• Etowahcs, LLC
• Elise Audrey Eubanks
• Katherine Ann Eubanks, CRNA
• Rebecca Berrier Evans, CNM, FNP-BC
• Michelle R Exum-Woods

• Specialist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.