Provider Type Icon

CAMP CREEK WOMEN'S HEALTH SPECIALIST NPI 1255354122


NPI Information

NPI: 1255354122
Provider Name: CAMP CREEK WOMEN'S HEALTH SPECIALIST
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3890 REDWINE RD SW STE 106
ATLANTA, GA
ZIP 30331
Phone: (404) 344-2229
Get Directions

CAMP CREEK WOMEN'S HEALTH SPECIALIST is an obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CAMP CREEK WOMEN'S HEALTH SPECIALIST NPI is 1255354122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3890 REDWINE RD SW STE 106
ATLANTA, GA
ZIP 30331-509
Phone: (404) 344-2229
Fax: (404) 574-6715

The provider's authorized official is Kevin Jermaine Edmonds .
The authorized official title is Medical Director/ Ceo and has the following contact phone number (404) 344-2229.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & Gynecology55205GEORGIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.