Provider Demographics
NPI:1053936765
Name:EVERY WOMAN'S OB-GYN LLC
Entity type:Organization
Organization Name:EVERY WOMAN'S OB-GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAPOHUNDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-495-8750
Mailing Address - Street 1:100 MISSING LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-3191
Mailing Address - Country:US
Mailing Address - Phone:706-495-8750
Mailing Address - Fax:
Practice Address - Street 1:119 N PARK TRL
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7373
Practice Address - Country:US
Practice Address - Phone:678-881-0020
Practice Address - Fax:706-641-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty