# MOUNTAINS WOMEN'S CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountains Women's Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053012260
- **Authorized official:** AMBER GLENN M.D. (OWNER, PHYSICIAN)
- **Authorized official phone:** (678) 944-8042

## Contact information

- **Practice address:** 1611 SANDS PLACE, SUITE 100, MARIETTA, GA 30067
- **Practice address phone:** (678) 944-8042
- **Practice address fax:** (678) 293-7579
- **Mailing address:** 1611 SANDS PLACE, SUITE 100, MARIETTA, GA 30067
- **Mailing address phone:** (678) 944-8042
- **Mailing address fax:** (678) 293-7579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 10/29/2024