Provider Demographics
NPI:1902875966
Name:WOMEN'S HEALTH OF AUGUSTA, P.C.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH OF AUGUSTA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST MANAGER/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-733-4427
Mailing Address - Street 1:1303 DANTIGNAC ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2775
Mailing Address - Country:US
Mailing Address - Phone:706-733-4427
Mailing Address - Fax:706-737-0215
Practice Address - Street 1:1303 DANTIGNAC ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2775
Practice Address - Country:US
Practice Address - Phone:706-733-4427
Practice Address - Fax:706-737-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACB2321OtherRAILROAD MEDICARE
GACB2321OtherRAILROAD MEDICARE