MEDICARE: COMPREHENSIVE WOMEN HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	033047	GA

General Provider Information

NPI Number	:	1134397789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE WOMEN HEALTHCARE

Provider Business Mailing Address
First Line	:	809 CLEVELAND AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7108
Country	:	US
Telephone Number	:	404-757-2536
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 CLEVELAND AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7108
Country	:	US
Telephone Number	:	404-757-2536
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	DAWN RAY
Credential	:
Telephone Number	:	404-767-2536

Provider Enumeration Date	:	02/18/2008
Last Update Date	:	02/18/2008

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Directions to “COMPREHENSIVE WOMEN HEALTHCARE ” Practice Location

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