Organization
SOUTHERN CRESCENT WOMEN'S HEALTH SPECIALISTS
Active
Other names
women's health specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN STAPLETON (PRACTICE MANAGER)
(770) 474-0064
Entity
Organization
Contact information
Practice address
115 EAGLE SPRIGN DR, STOCKBRIDGE, GA 30281
(770) 474-0064
(770) 474-2998
Mailing address
115 EAGLE SPRING DR, STOCKBRIDGE, GA 30281-6486
(770) 474-0064
(770) 474-2998
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
67788
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689836892
NPI
GA
Enumeration date
10/28/2014
Last updated
10/28/2014
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