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General NPI Number Information
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NPI Number | 1124393673
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH OF MACON, LLC
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 1062 FORSYTH ST SUITE 2E
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City | MACON
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State | GA
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Zip | 31201-8631
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Country | US
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Telephone | 478-744-0010
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Fax | 478-744-0090
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Provider Business Mailing Address
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Address Line | PO BOX 4048
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City | MACON
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State | GA
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Zip | 31208-4048
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Country | US
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Telephone | 478-744-0010
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Fax | 478-744-0090
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE A RAWLS
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Credential | MD
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Telephone | 478-744-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | GA
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