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NPI 1275779084

NPI 1275779084 : GEORGIA WOMENS HEALTH CENTER LLC : AUGUSTA, GA

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General NPI Number Information
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    NPI Number           |    1275779084
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGIA WOMENS HEALTH CENTER LLC 
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Dates
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    Enumeration Date     |    12/29/2008
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    Last Update Date     |    06/25/2015
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Provider Practice Location Address
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    Address Line         |    1215 GEORGE C WILSON DR STE 3B 
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    City                 |    AUGUSTA
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    State                |    GA
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    Zip                  |    30909-5706
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    Country              |    US
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    Telephone            |    706-860-3681
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    Fax                  |    706-860-3682
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Provider Business Mailing Address
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    Address Line         |    1215 GEORGE C WILSON DR STE 3B 
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    City                 |    AUGUSTA
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    State                |    GA
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    Zip                  |    30909-5706
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    Country              |    US
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    Telephone            |    706-860-3681
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    Fax                  |    706-860-3682
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. CHARITY  UHUNMWANGHO 
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    Credential           |    MD
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    Telephone            |    706-860-3681
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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 |    
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