# CENTRAL GEORGIA WOMEN'S HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1811922156
- **Authorized official:** DR. HENRY J DAVIS M.D. (OWNER)
- **Authorized official phone:** (478) 746-1333

## Contact information

- **Practice address:** 2410 INGLESIDE AVE, MACON, GA 31204-2036
- **Practice address phone:** (478) 746-1333
- **Practice address fax:** (478) 738-8638
- **Mailing address:** PO BOX 4687, MACON, GA 31208-4687
- **Mailing address phone:** (478) 746-1333
- **Mailing address fax:** (478) 738-8638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 12/11/2007