Provider Demographics
NPI:1861956195
Name:CENTER FOR WOMEN'S HEALTH AND AESTHETICS LLC
Entity type:Organization
Organization Name:CENTER FOR WOMEN'S HEALTH AND AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERPILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:678-783-0130
Mailing Address - Street 1:401 WESTPARK CT STE 200
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3572
Mailing Address - Country:US
Mailing Address - Phone:678-783-0130
Mailing Address - Fax:678-802-3154
Practice Address - Street 1:401 WESTPARK CT STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-3572
Practice Address - Country:US
Practice Address - Phone:678-783-0130
Practice Address - Fax:678-802-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty