Healthcare Provider Details

I. General information

NPI: 1326280363
Provider Name (Legal Business Name): WOMEN'S BIRTH & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 MARTIN LUTHER KING JR BLVD STE. 202
CHAPEL HILL NC
27514-2656
US

IV. Provider business mailing address

930 MARTIN LUTHER KING JR BLVD STE. 202
CHAPEL HILL NC
27514-2656
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-3301
  • Fax: 919-933-3375
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRIANNA HONEA
Title or Position: BUSINESS DIRECTOR
Credential:
Phone: 919-933-3301