Provider Demographics
NPI:1568471910
Name:ATLANTA WOMEN'S HEATHCARE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ATLANTA WOMEN'S HEATHCARE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-355-0320
Mailing Address - Street 1:275 COLLIER RD NW
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:SUITE 270
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1709
Practice Address - Country:US
Practice Address - Phone:404-355-8055
Practice Address - Fax:678-500-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty