Provider Demographics
NPI:1003981580
Name:CROWN MOUNTAIN WOMEN'S HEALTH
Entity Type:Organization
Organization Name:CROWN MOUNTAIN WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:706-864-3400
Mailing Address - Street 1:1298 S CHESTATEE
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-5530
Mailing Address - Country:US
Mailing Address - Phone:706-864-3400
Mailing Address - Fax:
Practice Address - Street 1:1298 S CHESTATEE
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-5530
Practice Address - Country:US
Practice Address - Phone:706-864-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054210207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI16040Medicare UPIN
GA16BBCKMMedicare ID - Type UnspecifiedDR. AMBER FRENCH
GA16BBCKLMedicare ID - Type UnspecifiedDR. BRANDON REYNOLDS
GAI16039Medicare UPIN