# IMMANUEL WOMEN'S CENTER, L.L.C

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

## Provider details

- **NPI number:** 1356387716
- **Authorized official:** MR. BENJAMIN NWADIKE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (404) 759-7318

## Contact information

- **Practice address:** 106 HOSPITAL DR, SUITE 6, CHATSWORTH, GA 30705-2070
- **Practice address phone:** (706) 517-4444
- **Practice address fax:** (706) 517-4455
- **Mailing address:** PO BOX 1868, DALTON, GA 30722-1868
- **Mailing address phone:** (706) 517-4444
- **Mailing address fax:** (706) 517-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 56863 | GA | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 08/22/2020