MEDICARE: BROOKWOOD WOMENS CARE, L.L.C.

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	:	1770886202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKWOOD WOMENS CARE, L.L.C.

Provider Business Mailing Address
First Line	:	4902 VALLEYDALE RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-4613
Country	:	US
Telephone Number	:	205-980-8099
Fax Number	:	205-980-2606

Provider Business Practice Location Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	SUITE 214
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6885
Country	:	US
Telephone Number	:	205-877-2880
Fax Number	:	205-877-2882

Authorized Official
Title or Position	:	REGIONAL CFO, TENET
Name	:	MR. WESLEY O. JAMES
Credential	:
Telephone Number	:	404-265-5009

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	05/26/2016

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