Provider Demographics
NPI:1801948658
Name:ATLANTA WOMEN'S HEALTH GROUP, P.C.
Entity type:Organization
Organization Name:ATLANTA WOMEN'S HEALTH GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-686-8640
Mailing Address - Street 1:1519 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6409
Mailing Address - Country:US
Mailing Address - Phone:770-565-2233
Mailing Address - Fax:770-565-2198
Practice Address - Street 1:1519 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 175
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062
Practice Address - Country:US
Practice Address - Phone:770-565-2233
Practice Address - Fax:770-565-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty