Organization Name: | CAMP CREEK WOMEN'S HEALTH SPECIALIST |
NPI Number: | 1255354122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN JERMAINE EDMONDS (MEDICAL DIRECTOR/ CEO) |
Mailing Address: | 3890 Redwine Rd Sw Ste 106 Atlanta |
State: | GA US |
Postal Code: | 303315509 |
Phone Number: | 4043442229 |
Fax Number: | 4045746715 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 55205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |