# HINESVILLE WOMEN'S CLINIC

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

## Provider details

- **NPI number:** 1780964841
- **Authorized official:** CLIPHANE W MCLEOD M.D. (OWNER)
- **Authorized official phone:** (912) 373-7035

## Contact information

- **Practice address:** 4540 E OGLETHORPE HWY, SUITE B, HINESVILLE, GA 31313-1445
- **Practice address phone:** (912) 373-7035
- **Practice address fax:** (912) 369-2482
- **Mailing address:** 4540 E OGLETHORPE HWY, SUITE B, HINESVILLE, GA 31313-1445
- **Mailing address phone:** (912) 373-7035
- **Mailing address fax:** (912) 369-2482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | GA029212 | GA | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 08/22/2011