Healthcare Provider Details

I. General information

NPI: 1700823507
Provider Name (Legal Business Name): WOMEN AND CHILDRENS HEALTHCARE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 DAVIS ST
SAVANNAH TN
38372-1855
US

IV. Provider business mailing address

105 DAVIS ST
SAVANNAH TN
38372-1855
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-8879
  • Fax: 731-925-2668
Mailing address:
  • Phone: 731-925-8879
  • Fax: 731-925-2668

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 WOODS
Title or Position: BILLING COLLECTIONS
Credential:
Phone: 731-925-8879