MEDICARE: NELSON CENTER FOR WOMEN, 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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1700040664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NELSON CENTER FOR WOMEN, PA

Provider Business Mailing Address
First Line	:	PO BOX 1211
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39302-1211
Country	:	US
Telephone Number	:	601-703-9506
Fax Number	:	601-703-3264

Provider Business Practice Location Address
First Line	:	1514 23RD AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-4026
Country	:	US
Telephone Number	:	601-531-3969
Fax Number	:	601-531-3169

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ALICIA SHELTON
Credential	:
Telephone Number	:	601-531-3969

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	08/13/2025

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Directions to “NELSON CENTER FOR WOMEN, PA ” Practice Location

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