Provider Demographics
NPI:1689809022
Name:COVINGTON WOMEN'S HEALTH SPECIALIST
Entity Type:Organization
Organization Name:COVINGTON WOMEN'S HEALTH SPECIALIST
Other - Org Name:CATHY LARRIMORE, MD AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:TONER
Authorized Official - Last Name:LARRIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-385-8954
Mailing Address - Street 1:4181 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014
Mailing Address - Country:US
Mailing Address - Phone:770-385-8954
Mailing Address - Fax:770-325-8590
Practice Address - Street 1:4181 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014
Practice Address - Country:US
Practice Address - Phone:770-385-8954
Practice Address - Fax:770-325-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN172870163WC2100X
GARN166939207V00000X
GA038836207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA471590234AMedicaid