# QUEEN CITY WOMEN'S HEALTH

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

## Provider details

- **NPI number:** 1316668403
- **Authorized official:** MS. COURTNEY CAMILLE CARTER CRNP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (334) 505-0873

## Contact information

- **Practice address:** 108 BROAD ST, SELMA, AL 36701-4639
- **Practice address phone:** (334) 505-0873
- **Mailing address:** 207 CRESTWOOD DR, SELMA, AL 36701-6044
- **Mailing address phone:** (334) 505-0873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022