ATLANTA CENTER OF WOMEN'S CHOICE NPI 1811486905

NPI Information

ATLANTA CENTER OF WOMEN'S CHOICE is a primary care clinic center in Atlanta, GA. ATLANTA CENTER OF WOMEN'S CHOICE NPI is 1811486905. The provider is registered as an organization entity type.

The provider's business location address is:

1874 PIEDMONT AVE NE STE 580E
ATLANTA, GA
ZIP 30324-975
Phone: (404) 602-4495
Fax: (404) 607-1745

The provider's authorized official is Fran Bolden .
The authorized official title is Credentialing Consultant and has the following contact phone number (256) 325-0896.

The CLIA number assigned to this NPI record is 11D1067854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 5/4/2018.

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:

Other Identifiers

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

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