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WOMAN CARE CLINIC INC NPI 1811161524


NPI Information

NPI: 1811161524
Provider Name: WOMAN CARE CLINIC INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 51D2167695

Address:
4501 MACCORKLE AVE SW
SUITE 200
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 766-9600
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WOMAN CARE CLINIC INC is an obstetrics gynecology in South Charleston, WV. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WOMAN CARE CLINIC INC NPI is 1811161524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4501 MACCORKLE AVE SW
SUITE 200
SOUTH CHARLESTON, WV
ZIP 25309-444
Phone: (304) 766-9600
Fax: (304) 766-9606

The provider's authorized official is Ammar Shammaa .
The authorized official title is Md and has the following contact phone number (304) 766-9600.

The CLIA number assigned to this NPI record is 51D2167695 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 6/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology22915WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19375181MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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