# DOUGLAS WOMENS CENTER PC

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

## Provider details

- **NPI number:** 1407840069
- **Authorized official:** DR. LISA ORTENZI MD (PRESIDENT)
- **Authorized official phone:** (770) 941-8662

## Contact information

- **Practice address:** 880 CRESTMARK DR, SUITE 200, LITHIA SPRINGS, GA 30122-2646
- **Practice address phone:** (770) 941-8662
- **Practice address fax:** (770) 739-6006
- **Mailing address:** 880 CRESTMARK DR, SUITE 200, LITHIA SPRINGS, GA 30122-2646
- **Mailing address phone:** (770) 941-8662
- **Mailing address fax:** (770) 739-6006

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 11/22/2010