| Atlanta Center Of Women's Choice | |
|
1874 Piedmont Ave Ne Ste 580e Atlanta GA 30324-4975 | |
| (404) 602-4495 | |
| (404) 607-1745 |
| Full Name | Atlanta Center Of Women's Choice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1874 Piedmont Ave Ne Ste 580e, Atlanta, Georgia |
| Authorized Official Name and Position | Fran Bolden (CREDENTIALING CONSULTANT) |
| Authorized Official Contact | 2563250896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center Of Women's Choice 1874 Piedmont Ave Ne Ste 580e Atlanta GA 30324-4975 Ph: (404) 602-4495 | Atlanta Center Of Women's Choice 1874 Piedmont Ave Ne Ste 580e Atlanta GA 30324-4975 Ph: (404) 602-4495 |
| NPI Number | 1811486905 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811486905 | NPI | - | NPPES |
| 000982176E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 51987 (Georgia) | Primary |
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