1033398797 NPI number — INTERNATIONAL WOMEN'S HEALTH SERVICES, PC

Table of content: TAMARA LYNN GABALSKI LPCC (NPI 1154848844)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033398797 NPI number — INTERNATIONAL WOMEN'S HEALTH SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERNATIONAL WOMEN'S HEALTH SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033398797
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
993D JOHNSON FERRY RD NE STE 360
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30342-1602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-250-4447
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
993D JOHNSON FERRY RD NE STE 360
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342-1602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-250-4447
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WOODALL
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CNM
Authorized Official Telephone Number:
770-246-4446

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  RN162935 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com