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WOMANS CLINIC A PROFESSIONAL ASSOCIATION NPI 1962456574


NPI Information

NPI: 1962456574
Provider Name: WOMANS CLINIC A PROFESSIONAL ASSOCIATION

Doing Business As: WOMANS CLINIC PA

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 44D0315496

Address:
244 COATSLAND DR
JACKSON, TN
ZIP 38301
Phone: (731) 422-4642
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WOMANS CLINIC A PROFESSIONAL ASSOCIATION is an obstetrics gynecology in Jackson, TN. 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. WOMANS CLINIC A PROFESSIONAL ASSOCIATION NPI is 1962456574. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womans Clinic Pa.

The provider's business location address is:

244 COATSLAND DR
JACKSON, TN
ZIP 38301-948
Phone: (731) 422-4642
Fax: (731) 422-2277

The provider's authorized official is Catherine J Dillon .
The authorized official title is Business Office Mgr and has the following contact phone number (731) 422-4642.

The CLIA number assigned to this NPI record is 44D0315496 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/22/2010.


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 & GynecologyYes

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
13383748MEDICAIDTENNESSEE
23383748MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE GRP NUMBER

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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