Peniel Womens Center

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

PENIEL WOMENS CENTER

Practice address

5900 Hillandale Dr
Ste 325
Lithonia, GA 30058-3802

Phone

(770) 981-4666

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Thaddeus Chapman, MD

Title

Owner

Phone

(770) 981-4666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1902065717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "STE 325",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "770-981-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "STE 325",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "770-981-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-981-4666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.