Healthcare Provider Details

I. General information

NPI: 1831599059
Provider Name (Legal Business Name): SOUTH COUNTY WOMEN'S HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12345 W BEND DR 105
SAINT LOUIS MO
63128-2182
US

IV. Provider business mailing address

PO BOX 1645
FENTON MO
63026-1645
US

V. Phone/Fax

Practice location:
  • Phone: 314-270-8051
  • Fax: 314-270-9561
Mailing address:
  • Phone: 314-432-2580
  • Fax: 314-432-0223

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: ANITA SCHNAPP
Title or Position: OWNER
Credential: M.D.
Phone: 314-270-8051