Healthcare Provider Details

I. General information

NPI: 1013971308
Provider Name (Legal Business Name): WOMENS WELLNESS CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 VILLAGE DR
FAYETTEVILLE NC
28304-3815
US

IV. Provider business mailing address

2950 VILLAGE DR
FAYETTEVILLE NC
28304-3815
US

V. Phone/Fax

Practice location:
  • Phone: 910-323-3301
  • Fax: 910-323-4207
Mailing address:
  • Phone: 910-323-3301
  • Fax: 910-323-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number39708
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number27356
License Number StateNC

VIII. Authorized Official

Name: ROBERT E MEEKS
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 910-323-3301