Hinesville Women'S Clinic

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

GA029212 Issued in GA

Legal business name

HINESVILLE WOMEN'S CLINIC

Practice address

4540 E Oglethorpe Hwy
Suite B
Hinesville, GA 31313-1445

Phone

(912) 373-7035

Fax

(912) 369-2482

NPI assigned

Aug 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cliphane W McLeod, M.D.

Title

Owner

Phone

(912) 373-7035

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1780964841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E OGLETHORPE HWY",
            "address_2": "SUITE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131445",
            "telephone_number": "912-373-7035",
            "fax_number": "912-369-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E OGLETHORPE HWY",
            "address_2": "SUITE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313131445",
            "telephone_number": "912-373-7035",
            "fax_number": "912-369-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINESVILLE WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "CLIPHANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-373-7035",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "GA029212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336102A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.