Healthcare Provider Details

I. General information

NPI: 1598853707
Provider Name (Legal Business Name): FALANY & HULSE WOMENS CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 TOWNE LAKE PKWY SUITE 404
WOODSTOCK GA
30189-1602
US

IV. Provider business mailing address

900 TOWNE LAKE PKWY SUITE 404
WOODSTOCK GA
30189-1602
US

V. Phone/Fax

Practice location:
  • Phone: 770-926-9229
  • Fax: 678-445-2164
Mailing address:
  • Phone: 770-926-9229
  • Fax: 678-445-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ANDREW HULSE
Title or Position: OWNER
Credential: MD
Phone: 770-926-9229