Basic Information
| Provider Information | |||||||||
| NPI: | 1720023211 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW HORIZONS CENTER FOR WOMENS HEALTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 606 E SPRING ST STE A | ||||||||
| Address2: | |||||||||
| City: | COOKEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 385015067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315266248 | ||||||||
| FaxNumber: | 9315266250 | ||||||||
| Practice Location | |||||||||
| Address1: | 606 E SPRING ST STE A | ||||||||
| Address2: | |||||||||
| City: | COOKEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 385015067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315266248 | ||||||||
| FaxNumber: | 9315266250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 01/05/2018 | ||||||||
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| AuthorizedOfficialLastName: | PRIGG | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
| AuthorizedOfficialMiddleName: | N | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9315266248 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 1687 | TN | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.