Provider Demographics
NPI:1730533449
Name:STILL-A-WOMAN LLC.
Entity type:Organization
Organization Name:STILL-A-WOMAN LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-935-2793
Mailing Address - Street 1:11770 HAYNES BRIDGE RD
Mailing Address - Street 2:STE 401
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1966
Mailing Address - Country:US
Mailing Address - Phone:520-255-3024
Mailing Address - Fax:
Practice Address - Street 1:11770 HAYNES BRIDGE RD
Practice Address - Street 2:STE 401
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1966
Practice Address - Country:US
Practice Address - Phone:520-255-3024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment