Provider Demographics
NPI:1225287915
Name:GEORGIA CENTER FOR FEMALE HEALTH LLC
Entity Type:Organization
Organization Name:GEORGIA CENTER FOR FEMALE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FCOG
Authorized Official - Phone:678-789-9639
Mailing Address - Street 1:4775 JIMMY CARTER BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3760
Mailing Address - Country:US
Mailing Address - Phone:770-638-8446
Mailing Address - Fax:
Practice Address - Street 1:4775 JIMMY CARTER BLVD
Practice Address - Street 2:STE 300
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3760
Practice Address - Country:US
Practice Address - Phone:770-638-8446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty