Healthcare Provider Details

I. General information

NPI: 1821171497
Provider Name (Legal Business Name): WOMEN'S HEALTH ASSOCIATES OF MONROE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 WOOD ST
MONROE LA
71201-7445
US

IV. Provider business mailing address

410 WOOD STREET
MONROE LA
71201
US

V. Phone/Fax

Practice location:
  • Phone: 318-325-1731
  • Fax: 318-325-5636
Mailing address:
  • Phone: 318-325-1731
  • Fax: 318-325-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberL023779
License Number StateLA

VIII. Authorized Official

Name: DR. JOHN WHITNEY MERCER JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 318-325-1731