Healthcare Provider Details

I. General information

NPI: 1891521167
Provider Name (Legal Business Name): EPIPHANY WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 SPRING RUN DR
FAIRHOPE AL
36532-3854
US

IV. Provider business mailing address

82 PLANTATION POINTE
FAIRHOPE AL
36532-2962
US

V. Phone/Fax

Practice location:
  • Phone: 251-990-1950
  • Fax:
Mailing address:
  • Phone: 407-832-4501
  • Fax: 309-204-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM M BOYD JR.
Title or Position: OWNER
Credential: DO, MD
Phone: 309-264-2046