Healthcare Provider Details

I. General information

NPI: 1588786495
Provider Name (Legal Business Name): WOMEN'S HEALTH PROFESSIONALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 5TH AVE
ALBANY GA
31701-1918
US

IV. Provider business mailing address

414 5TH AVE
ALBANY GA
31701-1918
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-4555
  • Fax: 229-888-0063
Mailing address:
  • Phone: 229-883-4555
  • Fax: 229-888-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. APRIL L COOK
Title or Position: ADMINISTRATOR
Credential:
Phone: 229-883-4555