# CAMP CREEK WOMEN'S HEALTH SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255354122
- **Authorized official:** DR. KEVIN JERMAINE EDMONDS M.D. (MEDICAL DIRECTOR/ CEO)
- **Authorized official phone:** (404) 344-2229

## Contact information

- **Practice address:** 3890 REDWINE RD SW STE 106, ATLANTA, GA 30331-5509
- **Practice address phone:** (404) 344-2229
- **Practice address fax:** (404) 574-6715
- **Mailing address:** 3890 REDWINE RD SW STE 106, ATLANTA, GA 30331-5509
- **Mailing address phone:** (404) 344-2229
- **Mailing address fax:** (404) 574-6715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 55205 | GA | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020