Organization Name: | CROWN MOUNTAIN WOMEN'S HEALTH |
NPI Number: | 1003981580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMBER CHRISTINE FRENCH (PRESIDENT) |
Mailing Address: | 1298 S Chestatee Dahlonega |
State: | GA US |
Postal Code: | 305335530 |
Phone Number: | 7068643400 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 054210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |