Provider Demographics
NPI:1679814735
Name:POWER IN THE PEWS MINISTRY, INC.
Entity Type:Organization
Organization Name:POWER IN THE PEWS MINISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:PLESHETTE
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:770-593-9050
Mailing Address - Street 1:5026 SNAPFINGER WOODS DR
Mailing Address - Street 2:STE 110
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4063
Mailing Address - Country:US
Mailing Address - Phone:770-593-9050
Mailing Address - Fax:770-593-9060
Practice Address - Street 1:5026 SNAPFINGER WOODS DR
Practice Address - Street 2:STE 110
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4063
Practice Address - Country:US
Practice Address - Phone:770-593-9050
Practice Address - Fax:770-593-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care