Organization
CENTRAL GEORGIA WOMEN'S HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY J DAVIS M.D. (OWNER)
(478) 746-1333
Entity
Organization
Contact information
Practice address
2410 INGLESIDE AVE, MACON, GA 31204-2036
(478) 746-1333
(478) 738-8638
Mailing address
PO BOX 4687, MACON, GA 31208-4687
(478) 746-1333
(478) 738-8638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ6093
RAIL ROAD MEDICARE GROUP
GA
Enumeration date
07/12/2006
Last updated
12/11/2007
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