Organization
ATLANTA WOMEN'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE GRIFFIN (CREDENTIALING COORDINATOR)
(856) 356-4025
Entity
Organization
Contact information
Practice address
235 W WIEUCA RD NE, ATLANTA, GA 30342-3321
(404) 257-0057
(404) 257-1245
Mailing address
601 CHAPEL AVE E, CHERRY HILL, NJ 08034-1454
(856) 356-4025
(856) 356-4038
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52261456001
BC/BS
GA
01
—
A2124
KAISER PERMANENTE
GA
Enumeration date
05/24/2006
Last updated
05/13/2014
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