# WOMANS CLINIC PA

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

## Provider details

- **NPI number:** 1396798146
- **Authorized official:** TAMELA J WALKER (CERTIFIED MEDICAL CODER)
- **Authorized official phone:** (864) 699-5042

## Contact information

- **Practice address:** 475 HEYWOOD AVE, SPARTANBURG, SC 29307-1726
- **Practice address phone:** (864) 699-5020
- **Practice address fax:** (864) 699-5050
- **Mailing address:** 475 HEYWOOD AVE, SPARTANBURG, SC 29307-1726
- **Mailing address phone:** (864) 699-5020
- **Mailing address fax:** (864) 699-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 02/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PA0800 | — | SC |
