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General NPI Number Information
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NPI Number | 1801948658
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Entity Type | Organization
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Legal Business Name | ATLANTA WOMEN'S HEALTH GROUP, P.C.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 1519 JOHNSON FERRY RD SUITE 175
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City | MARIETTA
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State | GA
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Zip | 30062
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Country | US
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Telephone | 770-565-2233
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Fax | 770-565-2198
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Provider Business Mailing Address
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Address Line | 1519 JOHNSON FERRY RD SUITE 175
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City | MARIETTA
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State | GA
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Zip | 30062-6409
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Country | US
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Telephone | 770-565-2233
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Fax | 770-565-2198
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | TIFFINY JOHNSON
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Credential |
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Telephone | 678-686-8640
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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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