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Organization

ATLANTA CENTER OF WOMEN'S CHOICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRAN BOLDEN (CREDENTIALING CONSULTANT)
(256) 325-0896
Entity
Organization

Contact information

Practice address
1874 PIEDMONT AVE NE STE 580E, ATLANTA, GA 30324-4975
(404) 602-4495
(404) 607-1745
Mailing address
1874 PIEDMONT AVE NE STE 580E, ATLANTA, GA 30324-4975
(404) 602-4495
(404) 607-1745

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
51987
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000982176E
GA
Enumeration date
05/04/2018
Last updated
05/04/2018
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