Provider Demographics
NPI:1225196140
Name:WOMEN'S HEALTH AND WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGJEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-281-6700
Mailing Address - Street 1:1401 E SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2319
Mailing Address - Country:US
Mailing Address - Phone:334-281-6700
Mailing Address - Fax:334-288-4691
Practice Address - Street 1:1401 E SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2319
Practice Address - Country:US
Practice Address - Phone:334-281-6700
Practice Address - Fax:334-288-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALK732Medicare ID - Type UnspecifiedGROUP NUMBER