Henry OB/GYN Associates, PC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4133 Issued in GA

Legal business name

HENRY OB/GYN ASSOCIATES, PC.

Practice address

135 Eagles Walk
Suite 200
Stockbridge, GA 30281-7206

Phone

(770) 389-8520

Fax

(770) 389-3848

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Satya (Sonia) R. Suddala, M.D.

Title

Owner Administrator

Phone

(770) 389-8520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1972594778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EAGLES WALK",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817206",
            "telephone_number": "770-389-8520",
            "fax_number": "770-389-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EAGLES WALK",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817206",
            "telephone_number": "770-389-8520",
            "fax_number": "770-389-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY OB/GYN ASSOCIATES, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "SUDDALA",
        "authorized_official_first_name": "SATYA (SONIA)",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "770-389-8520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shane L Henry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.