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Organization

ATLANTA WEST WOMEN'S CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASWANT S CHADDHA MD (OWNER)
(770) 920-9745
Entity
Organization

Contact information

Practice address
4904 TIMBER RIDGE DR, SUITE 303, DOUGLASVILLE, GA 30135-1828
(770) 920-9745
(770) 920-9760
Mailing address
4904 TIMBER RIDGE DR, SUITE 303, DOUGLASVILLE, GA 30135-1828
(770) 920-9745
(770) 920-9760

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35023
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000478244B
GA
Enumeration date
01/27/2011
Last updated
03/05/2012
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