Healthcare Provider Details

I. General information

NPI: 1679690184
Provider Name (Legal Business Name): NETWORK FOR EFFECTIVE WOMENS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 05/13/2020
Certification Date: 05/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 STONEBRIDGE PKWY # 106
WATKINSVILLE GA
30677-6037
US

IV. Provider business mailing address

1351 STONEBRIDGE PKWY # 106
WATKINSVILLE GA
30677-6037
US

V. Phone/Fax

Practice location:
  • Phone: 706-769-0720
  • Fax: 706-769-8754
Mailing address:
  • Phone: 706-769-0720
  • Fax: 706-769-8754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number32045
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number031990
License Number StateGA

VIII. Authorized Official

Name: DR. ELIZABETH LOUISE SCHULTZ
Title or Position: PRESIDENT
Credential: DO
Phone: 706-769-0720