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Contact Information

THE WOMENS CLINIC
219 STATION STREET
JACKSONVILLE, NC28546
 Phone: 910-455-5000
 Fax: 910-455-7083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THE WOMENS CLINIC · (Female)

NPI Number 1043313653
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2006
Last updated 06/27/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 30273
  • NC Medicaid 10996
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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