# ANEW GYNECOLOGY AND WOMENS HEALTH PC

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

## Provider details

- **NPI number:** 1700019957
- **Authorized official:** DR. ELVIA A GREATHOUSE M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (812) 333-9650

## Contact information

- **Practice address:** 415 W 1ST ST, BLOOMINGTON, IN 47403-2403
- **Practice address phone:** (812) 333-9650
- **Practice address fax:** (812) 333-9680
- **Mailing address:** 415 W 1ST ST, BLOOMINGTON, IN 47403-2403
- **Mailing address phone:** (812) 333-9650
- **Mailing address fax:** (812) 333-9680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 50005067A | IN | Yes |

## Other

- **Enumeration date:** 09/03/2009
- **Last updated:** 01/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200963610 | — | IN |