HER WELLNESS CENTER LLC NPI 1356870547

NPI Information

NPI: 1356870547
Provider Name: HER WELLNESS CENTER, LLC

Doing Business As: HER WELLNESS CENTER, LLC

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1763 HIGHWAY 196 W
HINESVILLE, GA
ZIP 31313
Phone: (215) 498-7964
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HER WELLNESS CENTER, LLC is a gynecology obstetrics gynecology in Hinesville, GA. HER WELLNESS CENTER, LLC NPI is 1356870547. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Her Wellness Center, Llc.

The provider's business location address is:

1763 HIGHWAY 196 W
HINESVILLE, GA
ZIP 31313-013
Phone: (215) 498-7964

The provider's authorized official is Patrice Moore .
The authorized official title is Obstetrician/gynecologist and has the following contact phone number (215) 498-7964.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 6/9/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	67050	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003119950D	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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