MEDICARE: WOMENCARE PC

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	207VG0400X	Gynecology Physician	030223	GA

General Provider Information

NPI Number	:	1275664781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENCARE PC

Provider Business Mailing Address
First Line	:	1201 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1724
Country	:	US
Telephone Number	:	706-322-4950
Fax Number	:	706-322-5614

Provider Business Practice Location Address
First Line	:	1201 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1724
Country	:	US
Telephone Number	:	706-322-4950
Fax Number	:	706-322-5614

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KAREN A STUART
Credential	:	M.D.
Telephone Number	:	706-322-4950

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/22/2020

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