Provider Demographics
NPI:1679690184
Name:NETWORK FOR EFFECTIVE WOMENS SERVICES
Entity type:Organization
Organization Name:NETWORK FOR EFFECTIVE WOMENS SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:706-769-0720
Mailing Address - Street 1:1351 STONEBRIDGE PKWY # 106
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-6037
Mailing Address - Country:US
Mailing Address - Phone:706-769-0720
Mailing Address - Fax:706-769-8754
Practice Address - Street 1:1351 STONEBRIDGE PKWY # 106
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-6037
Practice Address - Country:US
Practice Address - Phone:706-769-0720
Practice Address - Fax:706-769-8754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031990207Q00000X
GA32045207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2873Medicare ID - Type UnspecifiedGROUP NUMBER