Provider Demographics
NPI:1720023211
Name:NEW HORIZONS CENTER FOR WOMENS HEALTH, INC.
Entity Type:Organization
Organization Name:NEW HORIZONS CENTER FOR WOMENS HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:N
Authorized Official - Last Name:PRIGG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-526-6248
Mailing Address - Street 1:606 E SPRING ST STE A
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-5067
Mailing Address - Country:US
Mailing Address - Phone:931-526-6248
Mailing Address - Fax:931-526-6250
Practice Address - Street 1:606 E SPRING ST STE A
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-5067
Practice Address - Country:US
Practice Address - Phone:931-526-6248
Practice Address - Fax:931-526-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI38296Medicare UPIN