Organization
PENIEL WOMENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS CHAPMAN MD (OWNER)
(770) 981-4666
Entity
Organization
Contact information
Practice address
5900 HILLANDALE DR, STE 325, LITHONIA, GA 30058-3802
(770) 981-4666
Mailing address
5900 HILLANDALE DR, STE 325, LITHONIA, GA 30058-3802
(770) 981-4666
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
GA
Other
Enumeration date
06/06/2008
Last updated
09/19/2008
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