Provider Demographics
NPI:1073014163
Name:WOMENS HEALTH INSTITUTE OF STOCKBRIDGE LLC
Entity Type:Organization
Organization Name:WOMENS HEALTH INSTITUTE OF STOCKBRIDGE LLC
Other - Org Name:WOMENS HEALTH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:MADUKA
Authorized Official - Last Name:UMERAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-746-2888
Mailing Address - Street 1:112 ARKWRIGHT LNDG
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1364
Mailing Address - Country:US
Mailing Address - Phone:478-746-2888
Mailing Address - Fax:478-746-2889
Practice Address - Street 1:112 ARKWRIGHT LNDG
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1364
Practice Address - Country:US
Practice Address - Phone:478-746-2888
Practice Address - Fax:478-746-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty