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ATLANTA WOMEN'S HEALTH GROUP P.C. NPI 1174501902


NPI Information

NPI: 1174501902
Provider Name: ATLANTA WOMEN'S HEALTH GROUP, P.C.

Other Name: ATLANTA WOMEN'S HEALTH GROUP, P.C. 2LLC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2066503

Address:
5780 PEACHTREE DUNWOODY ROAD
SUITE 300
ATLANTA, GA
ZIP 30342
Phone: (404) 303-1224
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ATLANTA WOMEN'S HEALTH GROUP, P.C. is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ATLANTA WOMEN'S HEALTH GROUP, P.C. NPI is 1174501902. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Atlanta Women's Health Group, P.c. 2llc.

The provider's business location address is:

5780 PEACHTREE DUNWOODY ROAD
SUITE 300
ATLANTA, GA
ZIP 30342-513
Phone: (404) 303-1224
Fax: (404) 303-1325

The provider's authorized official is Richard Charles Zane .
The authorized official title is President/ceo and has the following contact phone number (404) 303-1224.

The CLIA number assigned to this NPI record is 11D2066503 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/3/2006 and was last updated on 1/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistBL02-07164GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3569OTHERGEORGIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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