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Contact Information

AGELESS WOMEN'S HEALTH GA LLC
1325 COMMERCE DR STE 300
PEACHTREE CITY, GA30269-3582
 Phone: 602-796-2559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AGELESS WOMEN'S HEALTH GA LLC

NPI Number 1003785577
LBN Legal business name AGELESS WOMEN'S HEALTH GA LLC
Authorized official AMANDA WILKINSON - (BUSINESS OPERATIONS DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2025
Last updated 01/09/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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