# THE WOMEN'S PAVILION, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134296817
- **Authorized official:** DR. DAVIS LEE SULLIVAN M.D. (PRESIDENT)
- **Authorized official phone:** (256) 234-3477

## Contact information

- **Practice address:** 59 ALISON DR STE 8, ALEXANDER CITY, AL 35010-4411
- **Practice address phone:** (256) 234-3477
- **Practice address fax:** (256) 234-9866
- **Mailing address:** 59 ALISON DR STE 8, ALEXANDER CITY, AL 35010-4411
- **Mailing address phone:** (256) 234-3477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 06/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529403570 | — | AL |