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NPI Code Detail

MEDICARE: THE WOMAN'S CLINIC PA

MEDICARE: THE WOMAN'S CLINIC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497804686
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WOMAN'S CLINIC PA
Provider Business Mailing Address
First Line : 1312 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5406
Country : US
Telephone Number : 731-885-5100
Fax Number : 731-885-7584
Provider Business Practice Location Address
First Line : 1312 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5406
Country : US
Telephone Number : 731-885-5100
Fax Number : 731-885-7584
Authorized Official
Title or Position : V. PRES
Name : DR. ROBERT L CAMERON
Credential : MD
Telephone Number : 731-885-3300
Provider Enumeration Date : 01/09/2007
Last Update Date : 04/15/2008

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1982626172 — DR. ROY F LAWRENCE MD
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Directions to “THE WOMAN'S CLINIC PA ” Practice Location

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