Provider Demographics
NPI:1649385436
Name:WOMEN'S HEALTHCARE ASSOCIATES, P.C
Entity Type:Organization
Organization Name:WOMEN'S HEALTHCARE ASSOCIATES, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:HOLT
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-369-0019
Mailing Address - Street 1:1000 HAWTHORNE AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2168
Mailing Address - Country:US
Mailing Address - Phone:706-369-0019
Mailing Address - Fax:706-369-1989
Practice Address - Street 1:1000 HAWTHORNE AVE
Practice Address - Street 2:SUITE G
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2168
Practice Address - Country:US
Practice Address - Phone:706-369-0019
Practice Address - Fax:706-369-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GRP4835Medicare ID - Type Unspecified