Provider Demographics
NPI:1639316169
Name:UNITED WOMENS SERVICES LLC
Entity Type:Organization
Organization Name:UNITED WOMENS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LATHAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:OVERSTREET
Authorized Official - Suffix:
Authorized Official - Credentials:M
Authorized Official - Phone:404-223-2229
Mailing Address - Street 1:340 BOULEVARD NE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1273
Mailing Address - Country:US
Mailing Address - Phone:404-223-2229
Mailing Address - Fax:404-223-2191
Practice Address - Street 1:340 BOULEVARD NE
Practice Address - Street 2:SUITE 103
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1273
Practice Address - Country:US
Practice Address - Phone:404-223-2229
Practice Address - Fax:404-223-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty