# CLINICA DE LA MUJER

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

## Provider details

- **NPI number:** 1407027261
- **Authorized official:** DR. ANDRE DAMIEN WILLIAMS M.D. (OWNER)
- **Authorized official phone:** (770) 496-1592

## Contact information

- **Practice address:** 3644 CHAMBLEE TUCKER RD, SUITE A, CHAMBLEE, GA 30341-4405
- **Practice address phone:** (770) 496-1592
- **Practice address fax:** (770) 496-1577
- **Mailing address:** 3644 CHAMBLEE TUCKER RD, SUITE A, CHAMBLEE, GA 30341-4405
- **Mailing address phone:** (770) 496-1592
- **Mailing address fax:** (770) 496-1577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 022081 | GA | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008