Healthcare Provider Details

I. General information

NPI: 1588895833
Provider Name (Legal Business Name): WOMEN OF W.O.R.T.H. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 DEAN ST.
ROME GA
30161
US

IV. Provider business mailing address

1513 DEAN ST.
ROME GA
30161
US

V. Phone/Fax

Practice location:
  • Phone: 706-232-3408
  • Fax: 706-232-3408
Mailing address:
  • Phone: 706-232-3408
  • Fax: 706-232-3408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARILYN T RINGSTAFF
Title or Position: CEO
Credential: CNM, 8D
Phone: 706-232-3408