Provider Demographics
NPI:1033398797
Name:INTERNATIONAL WOMEN'S HEALTH SERVICES, PC
Entity Type:Organization
Organization Name:INTERNATIONAL WOMEN'S HEALTH SERVICES, PC
Other - Org Name:CIMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WOODALL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:770-246-4446
Mailing Address - Street 1:993D JOHNSON FERRY RD NE STE 360
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1602
Mailing Address - Country:US
Mailing Address - Phone:404-250-4447
Mailing Address - Fax:
Practice Address - Street 1:993D JOHNSON FERRY RD NE STE 360
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1602
Practice Address - Country:US
Practice Address - Phone:404-250-4447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN162935176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty