Provider Demographics
NPI:1164887303
Name:THE WOMEN'S HEALTH INSTITUTE OF MACON, PC
Entity Type:Organization
Organization Name:THE WOMEN'S HEALTH INSTITUTE OF MACON, PC
Other - Org Name:WOMEN'S HEALTH INSTITUTE AT STOCKBRIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:UMERAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-746-2888
Mailing Address - Street 1:4050 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1805
Mailing Address - Country:US
Mailing Address - Phone:478-746-2888
Mailing Address - Fax:
Practice Address - Street 1:830 EAGLES LANDING PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7366
Practice Address - Country:US
Practice Address - Phone:678-759-8647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty