MEDICARE: WOMEN'S HEALTHCARE ASSOCIATES, PA

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	174400000X	Specialist	16961	SC
2	174400000X	Specialist	21342	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336276112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTHCARE ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	100 EXCHANGE ST STE 200
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-7901
Country	:	US
Telephone Number	:	843-681-9099
Fax Number	:	843-681-9126

Provider Business Practice Location Address
First Line	:	100 EXCHANGE ST STE 200
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-7901
Country	:	US
Telephone Number	:	843-681-9099
Fax Number	:	843-681-9126

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. BETH GOLD
Credential	:	CMPM
Telephone Number	:	843-681-9099

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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