WOMEN'S HEALTH GROUP SE GA NPI 1871600486

NPI Information

  • NPI: 1871600486
  • Provider Name: WOMEN'S HEALTH GROUP SE GA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 11D0871797
  • Address: 418 EH COURT UNIT 4B
    BRUNSWICK, GA
    ZIP 31520
  • Phone: (912) 267-0884

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NPI Details

WOMEN'S HEALTH GROUP SE GA is an obstetrics gynecology in Brunswick, 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. WOMEN'S HEALTH GROUP SE GA NPI is 1871600486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

418 EH COURT UNIT 4B
BRUNSWICK, GA
ZIP 31520
Phone: (912) 267-0884
Fax: (912) 267-7948

The provider's authorized official is Matthew M Johnston .
The authorized official title is Owner and has the following contact phone number (912) 267-0884.

The CLIA number assigned to this NPI record is 11D0871797 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/23/2006 and was last updated on 2/22/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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
10031447777AMEDICAIDGEORGIA

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: 3/30/2025

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