Provider Demographics
NPI:1578812012
Name:UNIFIED WOMEN'S CARE OF GEORGIA, LLC
Entity Type:Organization
Organization Name:UNIFIED WOMEN'S CARE OF GEORGIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-300-2410
Mailing Address - Street 1:P O BOX 11496
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4005
Mailing Address - Country:US
Mailing Address - Phone:919-334-0150
Mailing Address - Fax:919-334-0152
Practice Address - Street 1:200 PERIMETER PARK DR STE B
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9714
Practice Address - Country:US
Practice Address - Phone:919-334-0150
Practice Address - Fax:919-334-0152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIFIED WOMEN'S HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty