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General NPI Number Information
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NPI Number | 1992769574
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Entity Type | Organization
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Legal Business Name | CAROLINA WOMEN'S PHYSICIANS, PA
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2414 EMERALD PLACE
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City | GREENVILLE
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State | NC
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Zip | 27834-5784
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Country | US
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Telephone | 252-355-7805
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Fax | 252-758-2970
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Provider Business Mailing Address
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Address Line | 2414 EMERALD PLACE
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 252-355-7805
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Fax | 252-758-2970
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER LEA FERGUSON
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Credential | M.D.
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Telephone | 252-355-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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