Provider Demographics
NPI:1801908272
Name:WOMEN FOR WOMENS HEALTH PC
Entity type:Organization
Organization Name:WOMEN FOR WOMENS HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MAJOR
Authorized Official - Last Name:LUHRS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-742-6738
Mailing Address - Street 1:1062 FORSYTH ST STE 2A
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8639
Mailing Address - Country:US
Mailing Address - Phone:478-742-6738
Mailing Address - Fax:478-742-6153
Practice Address - Street 1:1062 FORSYTH ST STE 2A
Practice Address - Street 2:SUITE 210
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8639
Practice Address - Country:US
Practice Address - Phone:478-742-6738
Practice Address - Fax:478-742-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherFEDERAL TAX ID
GA511G700494Medicare PIN