MEDICARE: WOMEN'S HEALTH ALLIANCE, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0117C	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164489696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH ALLIANCE, P.A.

Provider Business Mailing Address
First Line	:	550 NEW WAVERLY PL STE 200
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-7412
Country	:	US
Telephone Number	:	919-467-0304
Fax Number	:	919-655-0532

Provider Business Practice Location Address
First Line	:	550 NEW WAVERLY PL
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-7412
Country	:	US
Telephone Number	:	919-467-5941
Fax Number	:	919-655-0532

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. JUDY H GARRETT
Credential	:
Telephone Number	:	919-848-4080

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/06/2008

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Directions to “WOMEN'S HEALTH ALLIANCE, P.A. ” Practice Location

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