Organization Name: | CENTER FOR WOMEN'S HEALTH AND FITNESS, LLC |
NPI Number: | 1922273655 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER CHARLES JOHNSON (PHYSICIAN) |
Mailing Address: | 965 Hawthorne Ave 100a Athens |
State: | GA US |
Postal Code: | 306062139 |
Phone Number: | 7063691200 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |