# GENESIS WOMEN'S CARE LLC

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

## Provider details

- **NPI number:** 1316193667
- **Authorized official:** STEPHANIE J BROGDEN M.D. (PRESIDENT)
- **Authorized official phone:** (706) 629-7380

## Contact information

- **Practice address:** 190 CURTIS PKWY NE, SUITE B, CALHOUN, GA 30701-2057
- **Practice address phone:** (706) 629-7380
- **Practice address fax:** (706) 629-5406
- **Mailing address:** PO BOX 2105, CALHOUN, GA 30703-2105
- **Mailing address phone:** (706) 629-7380
- **Mailing address fax:** (706) 629-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 051437 | GA | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008