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Organization

WOMEN'S HEALTHCARE CENTER OF GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA HUDSON (OWNER)
(770) 739-1200
Entity
Organization

Contact information

Practice address
3875 AUSTELL RD, SUITE 301, AUSTELL, GA 30106-1103
(770) 739-1200
Mailing address
3875 AUSTELL RD, SUITE 301, AUSTELL, GA 30106-1103
(770) 739-1200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040926
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00682316B
GA
Enumeration date
12/06/2011
Last updated
12/06/2011
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