Organization
CENTER FOR WOMEN'S HEALTH AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHARLES JOHNSON M.D. (PHYSICIAN)
(706) 369-1200
Entity
Organization
Contact information
Practice address
965 HAWTHORNE AVE, 100A, ATHENS, GA 30606-2139
(706) 369-1200
Mailing address
PO BOX 1390, STONE MOUNTAIN, GA 30086-1390
(706) 369-1200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34378
GA
Other
Enumeration date
04/23/2008
Last updated
05/05/2008
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