Provider Demographics
NPI:1275779084
Name:GEORGIA WOMENS HEALTH CENTER LLC
Entity Type:Organization
Organization Name:GEORGIA WOMENS HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:UHUNMWANGHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-860-3681
Mailing Address - Street 1:1215 GEORGE C WILSON DR STE 3B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5706
Mailing Address - Country:US
Mailing Address - Phone:706-860-3681
Mailing Address - Fax:706-860-3682
Practice Address - Street 1:1215 GEORGE C WILSON DR STE 3B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5706
Practice Address - Country:US
Practice Address - Phone:706-860-3681
Practice Address - Fax:706-860-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G701161Medicare PIN