NPI age
1 years
Enumerated 2024-09-12
● Active Type 2 · Organization
Boutiquegyn Wellness Center
Boutiquegyn Wellness Center is 1 of 267 obstetrics & gynecology organizations in Georgia.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Ceo/founder
Last NPPES update
2024-09-12
Source: monthly bulk 2026-05
How this organization compares
Across 267 active obstetrics & gynecology providers in Georgia.
NPI age
1 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2970 Clairmont Rd Ne
Brookhaven, GA 303291638
Mailing address
530 Semira St Sw
Atlanta, GA 303318378
Authorized official
Fonda D. Martin, MD
Ceo/founder
📞 7138787102
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Zachary Dubin, DMD Dentist NPI 1821628694
Specialties
-
Obstetrics & Gynecology PrimaryA physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.