Provider Demographics
NPI:1821144221
Name:ALPHARETTA WOMEN'S SPECIALISTS
Entity Type:Organization
Organization Name:ALPHARETTA WOMEN'S SPECIALISTS
Other - Org Name:AWS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCINEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-817-1970
Mailing Address - Street 1:10800 ALPHARETTA HWY
Mailing Address - Street 2:SUITE # 208-553
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1490
Mailing Address - Country:US
Mailing Address - Phone:770-817-1970
Mailing Address - Fax:770-817-1980
Practice Address - Street 1:1360 UPPER HEMBREE RD
Practice Address - Street 2:SUITE # 101
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1146
Practice Address - Country:US
Practice Address - Phone:770-817-1970
Practice Address - Fax:770-817-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049499207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty