Healthcare Provider Details

I. General information

NPI: 1205847423
Provider Name (Legal Business Name): WOMEN'S HEALTH CARE,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 D MALCOLM BLVD.
RUTHERFORD COLLEGE NC
28671
US

IV. Provider business mailing address

PO BOX 597
RUTHERFORD COLLEGE NC
28671-0597
US

V. Phone/Fax

Practice location:
  • Phone: 828-874-2731
  • Fax: 828-879-4888
Mailing address:
  • Phone: 828-874-2731
  • Fax: 828-879-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number24325
License Number StateNC

VIII. Authorized Official

Name: DR. JOHN M LAFFERTY
Title or Position: OWNER
Credential: M.D.
Phone: 828-874-2731