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General NPI Number Information
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NPI Number | 1427061589
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Entity Type | Organization
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Legal Business Name | SOUTHERN CRESCENT WOMEN'S HEALTHCARE PC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 1279 HIGHWAY 54 W SUITE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4552
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Country | US
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Telephone | 770-991-2200
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Fax | 770-991-1341
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Provider Business Mailing Address
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Address Line | 1279 HIGHWAY 54 WEST SUITE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4552
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Country | US
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Telephone | 770-991-2200
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Fax | 770-991-1341
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JANET FIGUERO
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Credential |
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Telephone | 770-991-2200
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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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