MEDICARE: ALL WOMENS HEALTHCARE 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
1	207V00000X	Obstetrics & Gynecology Physician	200401369	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019AG	OTHER	NC	BCBS
2	7458819	OTHER	NC	CIGNA
3	B1132	OTHER	NC	MEDCOST
4	0701672	OTHER	NC	UNITED HEALTHCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982739454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL WOMENS HEALTHCARE PA

Provider Business Mailing Address
First Line	:	1832 DOCTORS DR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-5057
Country	:	US
Telephone Number	:	919-775-2390
Fax Number	:	919-774-2390

Provider Business Practice Location Address
First Line	:	1832 DOCTORS DR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-5057
Country	:	US
Telephone Number	:	919-775-2390
Fax Number	:	919-774-2390

Authorized Official
Title or Position	:	OWNER PRESIDENT OF COMPANY
Name	:	DR. TERESA T BIRCHARD
Credential	:	MD
Telephone Number	:	919-775-2390

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	10/21/2008

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Directions to “ALL WOMENS HEALTHCARE PA ” Practice Location

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