Healthcare Provider Details

I. General information

NPI: 1659327567
Provider Name (Legal Business Name): WOMENS HEALTH PARTNERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SPRINGVIEW LANE
SUMMERVILLE SC
29485
US

IV. Provider business mailing address

PO BOX 51239
SUMMERVILLE SC
29485
US

V. Phone/Fax

Practice location:
  • Phone: 843-832-5096
  • Fax: 843-832-5115
Mailing address:
  • Phone: 843-832-5096
  • Fax: 843-832-5115

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: MS. LINDA T ANAVITATE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 843-832-5096